Individual
DR. CARMEN S BAUTISTA DATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
177 W 4TH ST, OSWEGO, NY 13126-3009
(315) 343-2151
(315) 343-2100
Mailing address
177 W 4TH ST, OSWEGO, NY 13126-3009
(315) 343-2151
(315) 343-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2300280
NY
Other
Enumeration date
07/16/2006
Last updated
03/05/2019
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