| Carlos Dator Jr., M.d., P.c. | |
|
177 W 4th St Oswego NY 13126-3009 | |
| (315) 343-2151 | |
| Not Available |
| Full Name | Carlos Dator Jr., M.d., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 177 W 4th St, Oswego, New York |
| Authorized Official Name and Position | Carlos O Dator (PRESIDENT) |
| Authorized Official Contact | 3153432151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Dator Jr., M.d., P.c. 177 W 4th St Oswego NY 13126-3009 Ph: (315) 343-2151 | Carlos Dator Jr., M.d., P.c. 177 W 4th St Oswego NY 13126-3009 Ph: (315) 343-2151 |
| NPI Number | 1508229659 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508229659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 281672 (New York) | Primary |
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