OrganizationCosmetic Clinic Dermatology(<Unavail>)General Acute Care HospitalHospitalsPractice Address5 E 98th St Fl 5, New York, NY 10029-6501(212) 241-3050PECOS EnrollmentBased on the most recent information from CMS, provider Cosmetic Clinic Dermatology does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689838047Provider TypeOrganizationFull NameCosmetic Clinic DermatologyOther Name<Unavail>SubpartNoEnumeration Date7/15/2008Last Updated7/15/2008Contact InformationPractice LocationPractice Address5 E 98th St Fl 5, New York, NY 10029-6501Phone(212) 241-3050Fax(212) 987-1197Mailing LocationMailing Address5 E 98th St Fl 5, New York, NY 10029-6501Phone(212) 241-3050Fax(212) 987-1197Authorized OfficialNameLebwohl, Mark (Chairman)Phone(212) 241-3050Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense141913New York