Provider Demographics
NPI:1225332828
Name:BELENITSKY, LEONID (LAC,DIPLAC, CMT)
Entity Type:Individual
Prefix:MR
First Name:LEONID
Middle Name:
Last Name:BELENITSKY
Suffix:
Gender:M
Credentials:LAC,DIPLAC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PARK PL
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2351
Mailing Address - Country:US
Mailing Address - Phone:908-492-1457
Mailing Address - Fax:866-293-5307
Practice Address - Street 1:1989 ENGLISHTOWN RD
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3292
Practice Address - Country:US
Practice Address - Phone:908-492-1457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00078700171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist