AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
NPI 1609865054
Surgery - Plastic and Reconstructive Surgery in Camillus, NY

Active since October 18, 2005
5700 W GENESEE ST, SUITE 132, CAMILLUS, NY 13031(315) 487-5858(315) 487-1950 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aesthetic Plastic Surgery Of Syracuse Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC (NPI 1609865054) is a healthcare organization registered as a plastic and reconstructive surgery in Camillus, New York and active in the NPI registry since October 2005. The organization lists Mark S Potenza, Owner, as its authorized official.

NPPES Registry Identity

NPI1609865054
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameAESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
Location Address5700 W GENESEE ST, SUITE 132Camillus, NY 13031-3200
Mailing AddressPo Box 2003East Syracuse, NY 13057-4503 · (315) 446-3904 · Fax (315) 445-2936
Fax(315) 487-1950
Organization SubpartNo
Authorized OfficialMark S PotenzaOwner · (315) 487-5858
Enumeration DateOctober 18, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1609865054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5700 W GENESEE ST, Camillus, NY 13031

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
5700 W GENESEE ST, STE. 201N
CAMILLUS, NY 13031
Family Medicine
5700 W GENESEE ST
CAMILLUS, NY 13031
Clinic/Center (Emergency Care)
5700 W GENESEE ST, SUITE 100 SOUTH
CAMILLUS, NY 13031
Physician Assistant (Medical)
5700 W GENESEE ST, SUITE 132
CAMILLUS, NY 13031
Surgery (Plastic and Reconstructive Surgery)
5700 W GENESEE ST, STE 132
CAMILLUS, NY 13031
Durable Medical Equipment & Medical Supplies
5700 W GENESEE ST
CAMILLUS, NY 13031
Physical Therapist
5700 W GENESEE ST, SUITE 2S
CAMILLUS, NY 13031
Durable Medical Equipment & Medical Supplies
5700 W GENESEE ST
CAMILLUS, NY 13031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aesthetic Plastic Surgery Of Syracuse PLLC's NPI number?

The NPI number for Aesthetic Plastic Surgery Of Syracuse PLLC is 1609865054. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Aesthetic Plastic Surgery Of Syracuse PLLC located?

Aesthetic Plastic Surgery Of Syracuse PLLC is located at 5700 W Genesee St Suite 132, Camillus, NY 13031. The listed phone number is (315) 487-5858.

What is Aesthetic Plastic Surgery Of Syracuse PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Aesthetic Plastic Surgery Of Syracuse PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.