Organization · NPI-2

A Merryland Operating LLC

Family Medicine, Adolescent Medicine · Brooklyn, NY

NPI number1972848307
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1972848307
Entity type
Organization (NPI-2)
Legal business name
A Merryland Operating LLC
Organization subpart
No
Enumeration date
Dec 12, 2012
Certification date
Jun 21, 2021
Last updated
Jun 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0000X Family Medicine, Adolescent Medicine097912NYYes

Other names

  • A Merryland Health Center (Doing Business As)

Practice location

2873 W 17th St Fl 2
Brooklyn, NY 11224-2611

Phone 718-265-0900 · Fax 718-360-2279

Mailing address

2873 W 17th St Fl 2
Brooklyn, NY 11224-2611

Phone 718-265-0900 · Fax 718-360-2279

Other practice locations

1704-06 Mermaid Ave
Brooklyn, NY 11224-2622

Phone 718-265-0900 · Fax 718-360-2279

Authorized official

Lidiya Leshchinskiy
Owner
7182650900

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