# A MERRYLAND OPERATING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A MERRYLAND HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972848307
- **Authorized official:** MRS. LIDIYA LESHCHINSKIY (OWNER)
- **Authorized official phone:** (718) 265-0900

## Contact information

- **Practice address:** 2873 W 17TH ST FL 2, BROOKLYN, NY 11224-2611
- **Practice address phone:** (718) 265-0900
- **Practice address fax:** (718) 360-2279
- **Mailing address:** 2873 W 17TH ST FL 2, BROOKLYN, NY 11224-2611
- **Mailing address phone:** (718) 265-0900
- **Mailing address fax:** (718) 360-2279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 097912 | NY | Yes |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 06/22/2021