Cleos Glam Care

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

CLEOS GLAM CARE

Practice address

310 E 103Rd St
New York, NY 10029-5604

Phone

(646) 234-2689

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Erica LawlessNPI 1619611803

Title

Ceo

Phone

(646) 234-2689

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Lawless

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1619611803
  NPD Authorized official

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1811658180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 TELLER AVE APT 4G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 103RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295604",
            "telephone_number": "646-234-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEOS GLAM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-234-2689"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip A. Clemmey, PH.D.
• Crystal Clemons
• Deborah Marie Clemons, CASAC
• Patrice Clemons
• Shavon Clenkian, R.N.
• Shari-Ann Clerge, PHARMD
• Soshana Clerizier, M.D.
• Kevin Clerkin, MD
• Rebeca Clerville Deratus, FNP
• Bakeishia Cleveland

• Prevention Professional in New York, NY
• Providers in New York, NY by specialty
• Prevention Professional in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.