Individual
EMILI LLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2369 24TH ST # 2F, ASTORIA, NY 11105-3414
(646) 500-4428
Mailing address
2369 24TH ST # 2F, ASTORIA, NY 11105-3414
(646) 500-4428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
300350
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2016
Last updated
01/07/2025
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