Carmen Bautista-Dator MD PC

NPI #1912066242 in Oswego, New York

Provider Information

NPI Number: 1912066242
Entity Type: Organization
Organization Name: Carmen Bautista-Dator MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 6, 2006
Last Updated: May 20, 2008

Practice Location

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

Authorized Official

Name: DR. CARMEN BAUTISTA DATOR, MD
Title: PHYSICIAN
Phone: (315) 343-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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