Provider Demographics
NPI:1164562336
Name:MYLONAKIS, TOULA (DMD)
Entity type:Individual
Prefix:DR
First Name:TOULA
Middle Name:
Last Name:MYLONAKIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 PARK AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3900
Mailing Address - Country:US
Mailing Address - Phone:212-832-6670
Mailing Address - Fax:212-600-5377
Practice Address - Street 1:37 PARK AVE STE B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3900
Practice Address - Country:US
Practice Address - Phone:212-832-6670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052542-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist