Mylaurel Medical Group FL, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MYLAUREL MEDICAL GROUP FL, PLLC

Practice address

885 3Rd Ave FL 29
New York, NY 10022-4834

Phone

(504) 475-1283

NPI assigned

Apr 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Baldridge

Title

Credentialing

Phone

(702) 417-6255

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1134749146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "504-475-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "504-475-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLAUREL MEDICAL GROUP FL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BALDRIDGE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "702-417-6255"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Myint, DO
• Ye Kyaw Myint
• Anne Dalebroux Mykyta, PSY.D.
• Kumudini Myla, MD
• Sanaa E Mylan, LCPC, LMHC, MS
• Mylaurel Medical Group Ny, PLLC
• Myles Zakheim
• Toula Mylonakis, DMD
• Yelena Myman
• James Nathan Mynard

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.