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

Ontario Lakeside Medical Associates

Organization Internal Medicine Physician · NPI 1184645368

Ontario Lakeside Medical Associates 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

Practice location Address checks out

90 W Utica St
Oswego, NY 13126
Phone: (315) 342-8552
Fax: (315) 342-8572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1828341 (NY)

Record details

NPI number1184645368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Dator — Physician · (315) 342-8552
NPI enumeratedJuly 22, 2006
Last updated in NPPESJuly 10, 2018
Mailing address90 W Utica St, Oswego, NY 13126-3048

Other providers in Oswego