Detor, Carly

Detor, Carly is an individual health care provider with primary practice located at 104 Union Ave Suite 1001-1002, Syracuse NY 13203-1843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Detor, Carly can be contacted via phone (315) 423-7192.

Contact Information

Primary practice address
104 Union Ave Suite 1001-1002 Syracuse NY 13203-1843
Phone: (315) 423-7192
Fax: (315) 423-8013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 339796 New York

Profile Details

NPI number 1114303278
LBN Legal business name Detor, Carly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers