Provider profile · NPI 1972848307
A Merryland Operating Llc
Family Medicine, Adolescent Medicine · Brooklyn, NY · NPI 1972848307 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Family Medicine, Adolescent Medicine
Enumerated
Dec 12, 2012
License(s)
097912 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2873 W 17TH ST FL 2 | Brooklyn, NY 11224-2611 | 718-265-0900 |
| LOCATION | 2873 W 17TH ST FL 2 | Brooklyn, NY 11224-2611 | 718-265-0900 |
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