Individual
DR. CARLOS OBLENA DATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 W UTICA ST, STE 2, OSWEGO, NY 13126-3048
(315) 342-8552
(315) 342-8572
Mailing address
90 W UTICA ST, OSWEGO, NY 13126-3048
(315) 342-8552
(315) 342-8572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
182834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01207047
—
NY
Enumeration date
07/21/2006
Last updated
03/29/2023
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