Provider Demographics
NPI:1982000378
Name:BEAUTE DES ARTS
Entity Type:Organization
Organization Name:BEAUTE DES ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CENEDESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-371-0468
Mailing Address - Street 1:30 CENTRAL PARK S
Mailing Address - Street 2:SUITE 1 C/D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1628
Mailing Address - Country:US
Mailing Address - Phone:212-371-0468
Mailing Address - Fax:212-371-3658
Practice Address - Street 1:30 CENTRAL PARK S
Practice Address - Street 2:SUITE 1 C/D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1628
Practice Address - Country:US
Practice Address - Phone:212-371-0468
Practice Address - Fax:212-371-3658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical