Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carmen Bautista-Dator MD PC

Organization Internal Medicine Physician · NPI 1912066242

Carmen Bautista-Dator MD PC is an Internal Medicine Physician in Oswego, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

177 W 4th St
Oswego, NY 13126-3009
Phone: (315) 343-2151
Fax: (315) 343-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2300280 (NY)

Record details

NPI number1912066242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Bautista Dator — Physician · (315) 343-2151
NPI enumeratedDecember 6, 2006
Last updated in NPPESMay 20, 2008
Mailing address177 W 4th St, Oswego, NY 13126-3009

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