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Search › New York › 1041C0700X

Jessica Detor, LMSW

NPI 1164989505 · on the registry since 2019

Practice

Address
4900 Broad Rd
Physician Office Building North 3n
Syracuse, NY 13215
Phone
(315) 949-1031
Organisation at this address
Chag Anesthesia Pc
Epc Physicians Pllc
Cny Neurology, Pllc
Shane M Sopp, Md Pc
William A Burke Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York