Potenza, Mark S
Potenza, Mark S is an sole proprietor health care provider with primary practice located at 5700 W Genesee St Ste 132, Camillus NY 13031-3212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Potenza, Mark S can be contacted via phone (315) 487-5858.Contact Information
Primary practice address
5700 W Genesee St Ste 132
Camillus NY 13031-3212
Phone: (315) 487-5858
Fax: (315) 487-1950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 167600 | New York |
Profile Details
| NPI number | 1134122096 |
|---|---|
| LBN Legal business name | Potenza, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 20th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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