Healthcare Provider Details

I. General information

NPI: 1407247661
Provider Name (Legal Business Name): BRYAN LELESKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 PERRY HWY STE 100
PITTSBURGH PA
15237-5215
US

IV. Provider business mailing address

316 STATION ST
BRIDGEVILLE PA
15017-1833
US

V. Phone/Fax

Practice location:
  • Phone: 412-983-7885
  • Fax: 412-366-3627
Mailing address:
  • Phone: 412-221-1091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number707264
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: