Organization
EVELYN LLANOS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN LLANOS MD (PRESIDENT)
(631) 470-2572
Entity
Organization
Contact information
Practice address
19 SOUTHDOWN RD, SUITE 16, HUNTINGTON, NY 11743-2538
(631) 470-2572
(631) 385-1748
Mailing address
19 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(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
03/28/2007
Last updated
09/24/2013
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