A MERRYLAND OPERATING LLC NPI 1972848307

NPI Information

A MERRYLAND OPERATING LLC is an adolescent medicine family medicine in Brooklyn, NY. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. A MERRYLAND OPERATING LLC NPI is 1972848307. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A Merryland Health Center.

The provider's business location address is:

2873 W 17TH ST FL 2
BROOKLYN, NY
ZIP 11224-611
Phone: (718) 265-0900
Fax: (718) 360-2279

The provider's authorized official is Lidiya Leshchinskiy .
The authorized official title is Owner and has the following contact phone number (718) 265-0900.

The CLIA number assigned to this NPI record is 33D2027801 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 6/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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