Carlos Dator Jr., M.D., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

281672 Issued in NY

Legal business name

CARLOS DATOR JR., M.D., P.C.

Practice address

177 W 4TH St
Oswego, NY 13126-3009

Phone

(315) 343-2151

NPI assigned

Apr 5, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlos O Dator Jr., M.D.

Title

President

Phone

(315) 343-2151

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1508229659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263009",
            "telephone_number": "315-343-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263009",
            "telephone_number": "315-343-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS DATOR JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "DATOR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-343-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "281672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Bishara Caraccioli, LCSW
• Nicole Carcone, BCBA, LBA
• Melissa Seeley Cardone, LCPC, LCAT, ATR
• Michael Carey, PA
• Wendy Layne Carguello, PT
• Victoria Carlson, CNM, WHNP-BC
• Carmen Bautista-Dator MD PC
• Michelle Elizabeth Carr
• Denise Marie Carter, NP-C
• Elizabeth Carter

• Primary Care Clinic/Center in Oswego, NY
• Providers in Oswego, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.