person
Leonid Bilenkin, PHYSICIANASSISTANT
Surgical Physician Assistant in Greenwich, Connecticut
NPI 1083780795

Leonid Bilenkin is a Surgical Physician Assistant based in South Salem, CT and is specialized in Surgical. Leonid Bilenkin practices in Greenwich, CT and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Leonid Bilenkin is 1083780795 and holds a License No. 003739 (Connecticut).

The current practice location address for Leonid Bilenkin is 55 Holly Hill Ln, Greenwich, CT and can be reached out via phone at 203-863-4670 and via fax at 203-863-4674. You can also correspond with Leonid Bilenkin through the mailing address at 16 GLEN DRIVE, SOUTH SALEM, NY - 10590 (mailing address contact number: 914-533-1182).

Location: 55 Holly Hill Ln, Greenwich, CT, 10590
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Provider Profile Details
NPI Number
1083780795
Provider Name
Leonid Bilenkin
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
55 Holly Hill Ln, Greenwich, CT, 10590
Phone Number
203-863-4670
Fax Number
203-863-4674
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002258 01 CT CONNECTICUT STATE PHYSICIAN ASSISTANT LICENSE
003739-1 01 NY NY STATE PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
55 Holly Hill Ln
City
State
Zip
06830-6074
Phone Number
203-863-4670
Fax Number
203-863-4674
person
Provider Business Mailing Address Details
Address
55 Holly Hill Ln
City
State
Zip
06830-6074
Phone Number
203-863-4670
Fax Number
203-863-4674
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002258 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
003739 (New York)
Definition
Definition to come...
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