Active NPIIndividual provider

Leonid Bilenkin, PHYSICIAN ASSISTANT

Physician Assistant, Surgical in Greenwich, Connecticut

NPI Number1083780795
Practice location
55 Holly Hill Ln, 110, Greenwich, CT 06830-6074
Fax
203-863-4674
Last updated
March 17, 2018

Leonid Bilenkin is a Physician Assistant, Surgical based in Greenwich, CT. Leonid Bilenkin practices in Greenwich, CT and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Leonid Bilenkin is 1083780795 and holds a License No. 003739 (NY). The current practice location address for Leonid Bilenkin is 55 Holly Hill Ln, 110, Greenwich, CT 06830-6074 and can be reached out via phone at 203-863-4670 and via fax at 203-863-4674.

Provider Profile Details

NPI Number
1083780795
Provider Name
Leonid Bilenkin
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
55 Holly Hill Ln, 110, Greenwich, CT 06830-6074
Phone Number
203-863-4670
Fax Number
203-863-4674
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2006
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Holly Hill Ln
110
Greenwich, CT 06830-6074
Zip
06830-6074
Phone Number
203-863-4670
Fax Number
203-863-4674
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
16 Glen Drive
South Salem, NY 10590
City
South Salem
State
NY
Zip
10590
Phone Number
914-533-1182

License Information

License Number (1)
003739
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
002258
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leonid Bilenkin, PHYSICIAN ASSISTANT?

The NPI number of Leonid Bilenkin, PHYSICIAN ASSISTANT is 1083780795. It was assigned on November 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Leonid Bilenkin, PHYSICIAN ASSISTANT?

Leonid Bilenkin, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 003739.

Where does Leonid Bilenkin, PHYSICIAN ASSISTANT practice?

The practice location is 55 Holly Hill Ln, 110, Greenwich, CT 06830-6074. The office can be reached at 203-863-4670 (phone) or 203-863-4674 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083780795 directly on the NPPES registry website.

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