MARK POTENZA, MD

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1134122096

Practice Address

5700 W GENESEE ST
STE 132
Camillus, NY 13031

Phone: (315) 487-5858

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes 167600 (NY)

Frequently Asked Questions

NPI 1134122096 is the National Provider Identifier for MARK POTENZA, MD, a Surgery - Plastic and Reconstructive Surgery provider located in Camillus, NY. This NPI was enumerated on May 24, 2005.
MARK POTENZA, MD practices at 5700 W GENESEE ST, STE 132, Camillus, NY 13031.

Quick Facts

NPI
1134122096
Type
Individual
Enumerated
May 24, 2005
Last Updated
Dec 20, 2012

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