Provider Demographics
NPI:1326569278
Name:LENJEN LLC
Entity Type:Organization
Organization Name:LENJEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KREMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-219-7128
Mailing Address - Street 1:2213 E59 PLACE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6401
Mailing Address - Country:US
Mailing Address - Phone:718-219-7128
Mailing Address - Fax:
Practice Address - Street 1:2213 E 59 PLACE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6401
Practice Address - Country:US
Practice Address - Phone:718-219-7128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care