Organization
AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S POTENZA (OWNER)
(315) 487-5858
Entity
Organization
Contact information
Practice address
5700 W GENESEE ST, SUITE 132, CAMILLUS, NY 13031-3200
(315) 487-5858
(315) 487-1950
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2005
Last updated
08/22/2020
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