ONTARIO LAKESIDE MEDICAL ASSOCIATES

OSWEGO, NY
NPI1184645368
Entity TypeOrganization
Authorized ContactCARLOS O DATOR
Physician
315-342-8552
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  1828341)
Enumeration Date2006-07-22
Last Update Date2018-07-10
Business Address
ONTARIO LAKESIDE MEDICAL ASSOCIATES
90 W UTICA ST
OSWEGO, NY 13126
Phone number: 315-342-8552
Mailing Address
ONTARIO LAKESIDE MEDICAL ASSOCIATES
90 W UTICA ST
OSWEGO, NY 13126-3048
Phone number: 315-342-8552