# EVELYN LLANOS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841319258
- **Authorized official:** DR. EVELYN LLANOS MD (PRESIDENT)
- **Authorized official phone:** (631) 470-2572

## Contact information

- **Practice address:** 19 SOUTHDOWN RD, SUITE 16, HUNTINGTON, NY 11743-2538
- **Practice address phone:** (631) 470-2572
- **Practice address fax:** (631) 385-1748
- **Mailing address:** 19 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
- **Mailing address phone:** (631) 470-2572
- **Mailing address fax:** (631) 385-1748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2381051 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/24/2013