Individual
EVELYN LLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 470-2572
(631) 423-9276
Mailing address
19 SOUTHDOWN RD, HUNTINGTON, NY 11743
(631) 470-2572
(631) 385-1748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2381051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02729913
—
NY
Enumeration date
02/13/2006
Last updated
10/04/2012
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