Provider Demographics
NPI:1437338167
Name:BELENKY, GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:BELENKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 S COEUR DALENE ST
Mailing Address - Street 2:#D203
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-6452
Mailing Address - Country:US
Mailing Address - Phone:509-953-6035
Mailing Address - Fax:509-358-7810
Practice Address - Street 1:166 S COEUR DALENE ST
Practice Address - Street 2:#D203
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-6452
Practice Address - Country:US
Practice Address - Phone:509-953-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000473102084P0800X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine