Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Skin Laser Spa, Inc

Organization Family Medicine Physician · NPI 1053149930

Blue Skin Laser Spa, Inc provides Family Medicine Physician services in Bronx, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 W 231st St
Bronx, NY 10463-3805
Phone: (917) 455-5092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053149930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonor Khalifa — Owner · (917) 227-8416
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address314 W 231st St, Bronx, NY 10463-3805

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