Individual provider · Type 1 NPI

Leo Gribelyuk, MD, M.B.A.

Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI number 1134461858 Active

Practice location

1 Medical Dr Dept Of
Lebanon, NH 03756-1000

Call (603) 650-7692 Map

Other practice locations

  • 601 Elmwood Ave, Box 661, Rochester, NY 14642-0001 · (585) 273-3656

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134461858

Leo Gribelyuk, MD, M.B.A.'s National Provider Identifier is 1134461858, issued on Mar 20, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, NH. The record was last updated on Jul 17, 2023.