DR. Carmen S Bautista Dator, MD

NPI #1346267291 in Oswego, New York

Provider Information

NPI Number: 1346267291
Entity Type: Individual
Name: DR. Carmen S Bautista Dator, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 16, 2006
Last Updated: Mar 5, 2019

Practice Location

Address: 177 W 4TH ST
City: Oswego
State: New York
ZIP Code: 13126-3009
Phone: (315) 343-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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