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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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