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

St Kilda Medical Service, PLLC

Organization Specialist · NPI 1528378668

St Kilda Medical Service, PLLC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1067 5th Ave
New York, NY 10128-0101 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 874-3384
Fax: (212) 874-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 156442 (NY)

Record details

NPI number1528378668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blair Lewis — Owner · (212) 874-3384
NPI enumeratedOctober 7, 2010
Last updated in NPPESJuly 21, 2011
Mailing address1067 5th Ave, New York, NY 10128-0101

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