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

Skinfluence Medical PC

Organization Specialist · NPI 1770963084

Skinfluence Medical PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1047 Park Ave
New York, NY 10028-1002 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 754-6363
Fax: (212) 289-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 190716 (NY)

Record details

NPI number1770963084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marina Peredo — Owner · (631) 863-3223
NPI enumeratedJune 2, 2015
Last updated in NPPESJune 2, 2015
Mailing address1047 Park Ave, New York, NY 10028-1002

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