# ADVANCED COSMETIC SURGERY & LASER CENTER OF HYDE PARK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215186457
- **Authorized official:** DR. JON E MENDELSOHN MD (PRESIDENT)
- **Authorized official phone:** (513) 351-3223

## Contact information

- **Practice address:** 3805 EDWARDS RD, SUITE 100, CINCINNATI, OH 45209-1900
- **Practice address phone:** (513) 351-3223
- **Mailing address:** 3805 EDWARDS RD, SUITE 100, CINCINNATI, OH 45209-1900
- **Mailing address phone:** (513) 351-3223
- **Mailing address fax:** (513) 396-8995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0753AS | OH | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/11/2008