| Evelyn Llanos Md Pc | |
|
19 Southdown Rd Suite 16 Huntington NY 11743-2538 | |
| (631) 470-2572 | |
| (631) 385-1748 |
| Full Name | Evelyn Llanos Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 19 Southdown Rd, Huntington, New York |
| Authorized Official Name and Position | Evelyn Llanos (PRESIDENT) |
| Authorized Official Contact | 6314702572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Llanos Md Pc 19 Southdown Rd Huntington NY 11743-2538 Ph: (631) 470-2572 | Evelyn Llanos Md Pc 19 Southdown Rd Suite 16 Huntington NY 11743-2538 Ph: (631) 470-2572 |
| NPI Number | 1841319258 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 09/24/2013 |
| Medicare PECOS PAC ID | 8527153857 |
|---|---|
| Medicare Enrollment ID | O20071002000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841319258 | NPI | - | NPPES |
| 02729913 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2381051 (New York) | Primary |
| Provider Name | Evelyn A Llanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760455497 PECOS PAC ID: 9739193780 Enrollment ID: I20060130000712 |
| Provider Name | Christopher Robert Palmeiro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538308069 PECOS PAC ID: 5395886394 Enrollment ID: I20100113000568 |
| Provider Name | Ada Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648706 PECOS PAC ID: 2264798867 Enrollment ID: I20171115001694 |
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