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

Aesthetic Plastic Surgery of Syracuse PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1609865054

Aesthetic Plastic Surgery of Syracuse PLLC is a Plastic and Reconstructive Surgery Physician in Camillus, New York. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5700 W Genesee St Ste 132
Camillus, NY 13031-3200
Phone: (315) 487-5858
Fax: (315) 487-1950
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1609865054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Potenza — Owner · (315) 487-5858
NPI enumeratedOctober 18, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2003, East Syracuse, NY 13057-4503

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