| Doctor Name: | LEONID BILENKIN |
| NPI Number: | 1083780795 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 002258 |
| Business Practice Address: | 55 Holly Hill Ln 110 Greenwich, CT - 068306074 |
| Business Phone Number: | 2038634670 |
| Business Fax Number: | 2038634674 |
| Mailing Address: | 16 Glen Drive, SOUTH SALEM |
| State: | NY |
| Postal Code: | 10590 |
| Phone Number: | 9145331182 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 002258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |