Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Detor, NP

Individual provider Nurse Practitioner · NPI 1114303278

Carly Detor, NP is a Nurse Practitioner in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2015, 11 years ago. Practices with St Josephs Medical PC, a 385-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

104 Union Ave Ste 1001-1002
Syracuse, NY 13203-1843
Phone: (315) 423-7192
Fax: (315) 423-8013
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 339796 (NY)

Record details

NPI number1114303278
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 30, 2015
Last updated in NPPESJuly 30, 2015
Mailing address104 Union Ave, Suite 1001-1002, Syracuse, NY 13203-1843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Syracuse