LEONID BILENKIN (NPI# 1083780795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083780795 |
Entity Type | Individual |
Full Name | LEONID BILENKIN |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
55 Holly Hill Ln 110 Greenwich CT 06830-6074 |
Mailing Address |
16 Glen Drive South Salem NY 10590 |
Practice Telephone | 2038634670 |
Practice Fax Number | 2038634674 |
Mailing Telephone | 9145331182 |
Enumeration Date | 2006-11-27 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
003739 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002258 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NY STATE PHYSICIAN ASSISTANT LICENSE | 003739-1 | 01 |
CT | CONNECTICUT STATE PHYSICIAN ASSISTANT LICENSE | 002258 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1543 Inwood Ave, Bronx, NY 104522001 | 8556818700 | 7182944765 |
Street Address |
55 HOLLY HILL LN 110 |
City | GREENWICH |
State | CT |
Zip Code | 06830-6074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699718114 | Joel Myron Blumberg | Specialist | 55 Holly Hill Ln, Suite 210, Greenwich, CT 06830-6074 | 2006-06-13 |
1568917946 | Myrhea P.c | Psychiatry & Neurology | 55 Holly Hill Ln, Suite 210, Greenwich, CT 06830-6074 | 2016-08-16 |
1093178873 | Catherine Staffieri | Dietitian, Registered | 55 Holly Hill Ln, Greenwich, CT 06830-6074 | 2016-03-30 |
1962879791 | Danielle Magnus | Dietitian, Registered | 55 Holly Hill Ln, Greenwich, CT 06830-6074 | 2015-08-27 |
1770987117 | Amanda Constant | Dietitian, Registered | 55 Holly Hill Ln, Greenwich, CT 06830-6074 | 2014-10-14 |
1871844233 | Jessica A Walsh | Nurse Practitioner | 55 Holly Hill Ln, Suite240, Greenwich, CT 06830-6074 | 2012-09-26 |
1861748311 | Mary E Varghese | Counselor | 55 Holly Hill Ln, Suite 240, Greenwich, CT 06830-6074 | 2012-08-01 |
1922374354 | Maryfrances Lanosa Desteno | Nurse Practitioner | 55 Holly Hill Ln, Greenwich, CT 06830-6074 | 2012-03-29 |
1972825180 | Samit Malhotra | Psychiatry & Neurology | 55 Holly Hill Ln, Suite 210, Greenwich, CT 06830-6074 | 2010-02-16 |
1972743284 | Greenwich Fertility & Ivf Center | Obstetrics & Gynecology | 55 Holly Hill Ln, Suite 270, Greenwich, CT 06830 | 2009-02-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
Find all providers in zip 06830 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668498 | Nicole Lynn Quaedvlieg | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-10-29 |
1144724113 | Kevin Eric Hwang | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831 | 2018-03-22 |
1346750692 | Tiji Saji George | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2017-10-01 |
1871002147 | Nicholas Stroumbakis | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2017-09-29 |
1104204486 | Ariana Wong Won | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2015-05-07 |
1205244407 | Alexis Nedurian | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830 | 2014-07-31 |
1982021812 | Orthopaedic and Neurosurgery Specialists, PC | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2014-03-28 |
1134556210 | Susan Paul | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2013-10-03 |
1487089686 | Dhara Soni | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2013-09-06 |
1144365016 | Joanne Nachtygal | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2007-02-20 |
Find all providers in GREENWICH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.