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

Mylaurel Medical Group Ny, PLLC

Organization Emergency Medicine Physician · NPI 1477214237

Mylaurel Medical Group Ny, PLLC is an Emergency Medicine Physician in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

885 3rd Ave Fl 29
New York, NY 10022-4834
Phone: (917) 613-9004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Emergency Medicine Physician Taxonomy 207P00000X

Record details

NPI number1477214237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Branko Kolvek — Coo · (347) 497-2452
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address885 3rd Ave Fl 29, New York, NY 10022-4834

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