LEONID BILENKIN


Address: 55 Holly Hill Ln, 110, Greenwich, CT 06830-6074
Phone: 2038634670

LEONID BILENKIN (NPI# 1083780795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY NY STATE PHYSICIAN ASSISTANT LICENSE 003739-1 01
CT CONNECTICUT STATE PHYSICIAN ASSISTANT LICENSE 002258 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1543 Inwood Ave, Bronx, NY 104522001 8556818700 7182944765

Office Location

Street Address 55 HOLLY HILL LN
110
City GREENWICH
State CT
Zip Code 06830-6074

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GREENWICH
Zip Code 06830

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Dataset Information

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.

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