Healthcare Provider Details

I. General information

NPI: 1346776846
Provider Name (Legal Business Name): JESSICA CADY EATON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA CADY NELSON

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

750 E ADAMS ST
SYRACUSE NY
13210-1834
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-4470
  • Fax:
Mailing address:
  • Phone: 315-464-4470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number344569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: