Carly Detor
NP | Nurse Practitioner | 10+ years Exp
104 Union Ave, Suite 1001-1002, Syracuse
New York, 13203-1843
315-423-7192
Carly Detor is a Syracuse, New York based nurse practitioner with 10 years of experience in . She completed her graduation from State University Of Ny Upstate Medical University in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Carly Detor is 339796 in New York. Her current practice location is 104 Union Ave, Suite 1001-1002, Syracuse. Patients can reach her at 315-423-7192 or can fax her at 315-423-8013. Carly Detor is NP and her NPI number (Unique professional ID assigned by NPPES) is 1114303278.
Carly Detor has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Carly Detor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Carly Detor |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 10+ years |
| Medical School Attended: | State University Of Ny Upstate Medical University |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 104 Union Ave, Suite 1001-1002, Syracuse,
New York, 13203-1843 |
| Phone: | 315-423-7192 |
| Fax: | 315-423-8013 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0042528523 |
| Enrollment ID: | I20151002000558 |
| NPI Number: | 1114303278 |
| NPI Enumeration Date: | 30 Jul, 2015 |
| NPI Last Update On: | 30 Jul, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carly Detor are as mentioned below.
| License Number | Specialization | State | Status | |
| 339796 | | New York | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Carly Detor is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| St Josephs Medical Pc (4688855844) | 295 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Carly Detor
104 Union Ave, Suite 1001-1002
Syracuse, New York |
| Zip: | 13203-1843 |
| Phone Number: | 315-423-7192 |
| Fax Number: | 315-423-8013 |
Patients can reach Carly Detor at
104 Union Ave, Suite 1001-1002, Syracuse, New York or can
call to book an appointment on 315-423-7192.
Comments/ Reviews:
Patients can read all the reviews posted for Carly Detor below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Carly Detor. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.