| Dator Medical PLLC | |
|
177 W 4th St Oswego NY 13126-3009 | |
| (315) 343-2151 | |
| (315) 343-2100 |
| Full Name | Dator Medical PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 177 W 4th St, Oswego, New York |
| Authorized Official Name and Position | Carlos O Dator (MD/OWNER) |
| Authorized Official Contact | 3153432151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dator Medical PLLC 177 W 4th St Oswego NY 13126-3009 Ph: (315) 343-2151 | Dator Medical PLLC 177 W 4th St Oswego NY 13126-3009 Ph: (315) 343-2151 |
| NPI Number | 1841172368 |
|---|---|
| Provider Enumeration Date | 07/24/2025 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Medicare PECOS PAC ID | 5799276549 |
|---|---|
| Medicare Enrollment ID | O20251119001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841172368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Carmen S Bautista-dator |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346267291 PECOS PAC ID: 2769470335 Enrollment ID: I20040503001288 |
| Provider Name | Sandra a Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255598868 PECOS PAC ID: 5890926984 Enrollment ID: I20151013000635 |
| Provider Name | Carlos O Dator |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114287158 PECOS PAC ID: 2163732116 Enrollment ID: I20151104000984 |
Flourish Beauty and Spa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 4th Ave, Oswego, NY 13126 Phone: 315-207-2023 |
Oswego Health Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 Fax: 315-736-2162 |
Lake Ontario Prompt Medical Care, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 State Route 104 Ste 2, Oswego, NY 13126 Phone: 315-216-4036 Fax: 315-216-4560 |
Endocrine Associate of Oswego PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 West Utica Street Suite A, Oswego, NY 13126 Phone: 315-216-4871 Fax: 888-827-9682 |
Hometown House Calls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249a Washington Blvd., Oswego, NY 13126 Phone: 315-297-3896 |
Ontario Lakeside Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 W Utica St, Oswego, NY 13126 Phone: 315-342-8552 Fax: 315-342-8572 |