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Organization

DATOR MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS O DATOR JR. MD (MD/OWNER)
(315) 343-2151
Entity
Organization

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
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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