International Cosmetic Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

161137-2 Issued in NY

Legal business name

INTERNATIONAL COSMETIC SURGERY

Practice address

620 Park Ave
New York, NY 10065-6591

Phone

(203) 661-8231

NPI assigned

Aug 12, 2010

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carroll Lesesne

Title

Member

Phone

(212) 570-6318

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1629383732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERCIA LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068307068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656591",
            "telephone_number": "203-661-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "LESESNE",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-570-6318"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "161137-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermed Care PC
• Internal Medical Care Associates
• International Center for the Disabled
• International Center for the Disabled
• International Center of Hope
• International Multiple Sclerosis Management Practice, PC
• International Pediatric Health Services PLLC
• International Pharmacy Inc
• Jaclyn Interrant
• Intersecting Mental Health Counseling Psychotherapy, PLLC

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.