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ONTARIO LAKESIDE MEDICAL ASSOCIATES
NPI 1184645368
Internal Medicine in Oswego, NY

Active since July 22, 2006
90 W UTICA ST, OSWEGO, NY 13126(315) 342-8552(315) 342-8572 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ontario Lakeside Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONTARIO LAKESIDE MEDICAL ASSOCIATES (NPI 1184645368) is a healthcare organization registered as an internal medicine in Oswego, New York and active in the NPI registry since July 2006. The organization lists Carlos O Dator, Physician, as its authorized official.

NPPES Registry Identity

NPI1184645368
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameONTARIO LAKESIDE MEDICAL ASSOCIATES
Location Address90 W UTICA STOswego, NY 13126
Mailing Address90 W Utica StOswego, NY 13126-3048 · (315) 342-8552 · Fax (315) 342-8572
Phone(315) 342-8552
Fax(315) 342-8572
Organization SubpartNo
Authorized OfficialCarlos O DatorPhysician · (315) 342-8552
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 10, 2018
✔ NPI 1184645368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 1828341
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
90 W UTICA ST, Oswego, NY 13126
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VINCENT J VERGINIO PT, CEERT MDT
Physical Therapist
90 W UTICA ST
OSWEGO, NY 13126
Oswego County (315) 342-2738
DR. CARLOS OBLENA DATOR MD
Internal Medicine
90 W UTICA ST, STE 2
OSWEGO, NY 13126
Oswego County (315) 342-8552
MRS. MICHELLE G LICCIARDELLO PT, CERT MDT
Physical Therapist
90 W UTICA ST
OSWEGO, NY 13126
Oswego County (315) 342-2738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ontario Lakeside Medical Associates's NPI number?

The NPI number for Ontario Lakeside Medical Associates is 1184645368. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Ontario Lakeside Medical Associates located?

Ontario Lakeside Medical Associates is located at 90 W Utica St, Oswego, NY 13126. The listed phone number is (315) 342-8552.

What is Ontario Lakeside Medical Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ontario Lakeside Medical Associates was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.