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Individual
LEONID BILENKIN
Active
Individual
LEONID BILENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
003739
NY
363AS0400X
Surgical Physician Assistant
Primary
002258
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002258
CONNECTICUT STATE PHYSICIAN ASSISTANT LICENSE
CT
01
—
003739-1
NY STATE PHYSICIAN ASSISTANT LICENSE
NY
Enumeration date
11/27/2006
Last updated
03/17/2018
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