Llanos, Evelyn

Llanos, Evelyn is an individual health care provider with primary practice located at 19 Southdown Rd , Huntington NY 11743-2538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Llanos, Evelyn can be contacted via phone (631) 470-2572.

Contact Information

Primary practice address
19 Southdown Rd Huntington NY 11743-2538
Fax: (631) 423-9276
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2381051 New York

Profile Details

NPI number 1760455497
LBN Legal business name Llanos, Evelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760455497 NPPES
New York MEDICAID 02729913

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