Mark S Potenza, MD
Mark S Potenza, MD is a Plastic and Reconstructive Surgery in Camillus, New York. Graduated from State University of Ny Upstate Medical University in 1985, 41 years ago. Practices with Aesthetic Plastic Surgery of Syracuse PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 41
- Trained at
- State University of Ny Upstate Medical University
- Licensed in
- NY
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5700 W Genesee St Ste 132Camillus, NY 13031-3212
Phone: (315) 487-5858
Fax: (315) 487-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 167600 (NY) |
|---|
Record details
| NPI number | 1134122096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2005 |
| Last updated in NPPES | December 20, 2012 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY |
| Graduated | 1985 (41 years in practice) |
| Group practice | Aesthetic Plastic Surgery Of Syracuse Pllc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Camillus
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Aesthetic Plastic Surgery of Syracuse PLLC
5700 W Genesee St Ste 132, Camillus, NY 13031-3200 · (315) 487-5858