Dr CARMEN S BAUTISTA-DATOR MD is a female medical professional, specializing in Family Medicine. She graduated in 1998.
CARMEN BAUTISTA DATOR, MD PC
177 W 4TH ST
OSWEGO
NY
131263009
Tel: 3153432151
| Npi | 1346267291 |
| Pac Id | 2769470335 |
| Professional Enrollment Id | I20040503001288 |
| Last Name | BAUTISTA-DATOR |
| First Name | CARMEN |
| Middle Name | S |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | CARMEN BAUTISTA DATOR, MD PC |
| Group Practice Pac Id | 4688617764 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 177 W 4TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OSWEGO |
| State | NY |
| Zip Code | 131263009 |
| Phone Number | 3153432151 |
| Hospital Affiliation Ccn 1 | 330218 |
| Hospital Affiliation Lbn 1 | OSWEGO HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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