Organization
A MERRYLAND OPERATING LLC
Active
Other names
A MERRYLAND HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIDIYA LESHCHINSKIY (OWNER)
(718) 265-0900
Entity
Organization
Contact information
Practice address
2873 W 17TH ST FL 2, BROOKLYN, NY 11224-2611
(718) 265-0900
(718) 360-2279
Mailing address
2873 W 17TH ST FL 2, BROOKLYN, NY 11224-2611
(718) 265-0900
(718) 360-2279
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
097912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7001134R
OPERATING CERTIFICATE
NY
Enumeration date
12/12/2012
Last updated
06/22/2021
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