Provider Demographics
NPI:1356593255
Name:LLORENS, ANTHONY L (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:L
Last Name:LLORENS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:625 BELLE TERRE RD, SUITE 100
Mailing Address - Street 2:JOHN T. MATHER MEMORIAL H
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2316
Mailing Address - Country:US
Mailing Address - Phone:631-686-7809
Mailing Address - Fax:631-473-4667
Practice Address - Street 1:75 NORTH COUNTRY RD
Practice Address - Street 2:JOHN T. MATHER MEMORIAL HOSPITAL
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2119
Practice Address - Country:US
Practice Address - Phone:631-686-7809
Practice Address - Fax:631-473-4667
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2015-04-30
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Provider Licenses
StateLicense IDTaxonomies
NY257729207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine