Carlos Dator Jr., M.d., P.c.

NPI #1508229659 in Oswego, New York

Provider Information

NPI Number
1508229659
Entity Type
Organization
Organization Name
Carlos Dator Jr., M.d., P.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 5, 2016
Last Updated
Apr 5, 2016

Practice Location

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

Authorized Official

Name
DR. CARLOS O DATOR JR., M.D.
Title
PRESIDENT
Phone
(315) 343-2151

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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