Organization
CARLOS DATOR JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS O DATOR JR. M.D. (PRESIDENT)
(315) 343-2151
Entity
Organization
Contact information
Practice address
177 W 4TH ST, OSWEGO, NY 13126-3009
(315) 343-2151
Mailing address
177 W 4TH ST, OSWEGO, NY 13126-3009
(315) 343-2151
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
281672
NY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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