International Cosmetic Surgery
Clinic/Center, Ambulatory Surgical in Greenwich, CT. Organization (NPI-2).
NPI number1497904296
StatusActive
Last updated in NPPESOct 20, 2010
Details
- NPI
- 1497904296
- Entity type
- Organization (NPI-2)
- Legal business name
- International Cosmetic Surgery
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Oct 20, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
2 Mercia LnGreenwich, CT 06830-7068
Phone 212-570-6318
Mailing address
2 Mercia LnGreenwich, CT 06830-7068
Phone 212-570-6318
Authorized official
Carroll Lesesne
President
2125706318
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