Organization · Type 2 NPI

A Merryland Operating LLC

Adolescent Medicine (Family Medicine) Physician · Brooklyn, NY

NPI number 1972848307 Active

Practice location

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

Call (718) 265-0900 Map

Fax (718) 360-2279

Other practice locations

1704-06 Mermaid Ave, Brooklyn, NY 11224-2622 · (718) 265-0900

Specialties and licenses

Taxonomy	Code	License
Adolescent Medicine (Family Medicine) Physician Primary	207QA0000X	097912 (NY)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

2 other providers at this address

NPI record

NPI: 1972848307
Entity type: Organization (Type 2)
Issued: Dec 12, 2012
Last updated: Jun 22, 2021
Status: Active

Other names

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A Merryland Health Center · doing business as
A Merryland Health Center · doing business as

Authorized official

Mrs. Lidiya Leshchinskiy
Owner
(718) 265-0900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972848307

A Merryland Operating LLC's National Provider Identifier is 1972848307, issued on Dec 12, 2012. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 22, 2021.