Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aesthetic Plastic Surgery of Syracuse PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1609865054

Aesthetic Plastic Surgery of Syracuse PLLC provides Plastic and Reconstructive Surgery Physician services in Camillus, New York. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5700 W Genesee St Ste 132
Camillus, NY 13031-3200
Phone: (315) 487-5858
Fax: (315) 487-1950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1609865054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Potenza — Owner · (315) 487-5858
NPI enumeratedOctober 18, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2003, East Syracuse, NY 13057-4503

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