Organization
CARMEN BAUTISTA-DATOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN BAUTISTA DATOR MD (PHYSICIAN)
(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
207R00000X
Internal Medicine Physician
Primary
2300280
NY
Other
Enumeration date
12/06/2006
Last updated
05/20/2008
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