Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leor Surilov

Individual provider Primary Care Clinic/Center · NPI 1659057818

Leor Surilov is a Primary Care Clinic/Center in Westerly, Rhode Island. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut and Tennessee.

Licensed in
CT, TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

25 Wells St
Westerly, RI 02891-2922
Phone: (401) 348-3670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 — (901) 227-5045

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84037 (CT)
Primary Care Clinic/Center Taxonomy 261QP2300X (TN)

Record details

NPI number1659057818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2023
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address1643 Nw 136th Ave # H-100, Sunrise, FL 33323-3091