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
Phone: (631) 470-2572
Fax: (631) 423-9276
Website:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760455497 | NPPES |
New York | MEDICAID | 02729913 |
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