AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC; NPI #1609865054

Contact Information

AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC

5700 W GENESEE ST
SUITE 132
CAMILLUS, NY 13031-3200

Phone: 315-487-5858
Fax: 315-487-1950
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC

NPI #	`1609865054`
LBN Legal business name	AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
Authorized official	MARK POTENZA - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/18/2005
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC

Contact Information

Specialty

Plastic and Reconstructive Surgery

NPI Profile & details for AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC

Reviews for AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC