Provider Demographics
NPI:1255132536
Name:LECHNER, MARIEL ANN (RN, CDCES)
Entity type:Individual
Prefix:MS
First Name:MARIEL
Middle Name:ANN
Last Name:LECHNER
Suffix:
Gender:
Credentials:RN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8504 ABINGDON RD
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2702
Mailing Address - Country:US
Mailing Address - Phone:718-570-5108
Mailing Address - Fax:
Practice Address - Street 1:17415 HORACE HARDING EXPY FL 2
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1527
Practice Address - Country:US
Practice Address - Phone:718-762-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32305563163WD0400X
NY748351163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator