Carly Detor, NP

NPI #1114303278 in Syracuse, New York

Provider Information

NPI Number
1114303278
Entity Type
Individual
Name
Carly Detor, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jul 30, 2015
Last Updated
Jul 30, 2015

Practice Location

Address
104 UNION AVE
Address 2
SUITE 1001-1002
ZIP Code
13203-1843
Phone
(315) 423-7192

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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