MARK S POTENZA

CAMILLUS, NY
NPI1134122096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: NY  167600)
Enumeration Date2005-05-24
Last Update Date2012-12-20
Business Address
-- MARK S POTENZA MD
5700 W GENESEE ST STE 132
CAMILLUS, NY 13031-3212
Phone number: 315-487-5858
Mailing Address
-- MARK S POTENZA MD
PO BOX 2003
EAST SYRACUSE, NY 13057-4503
Phone number: 315-449-3904
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