Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK S POTENZA, MD
Active Sole ProprietorMARK S POTENZA, MD is a Plastic and Reconstructive Surgery healthcare provider located in CAMILLUS, New York. NPI 1134122096 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · CAMILLUS, NY
Registration Details
- NPI Number
- 1134122096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (21.251000550495 yrs)
- Last Updated
- Dec 20, 2012
- License
-
167600 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5700 W GENESEE STSTE 132CAMILLUS, NY, 130313212Browse NY providers · Browse ZIP 13031
- Phone
- 3154875858
- Fax
- 3154871950
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.