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Search › New York › Adult Health Nurse Practitioner

Evgeny Antonov

NPI 1376930156 · on the registry since 2015 · sole proprietor

Practice

Address
56 Foster Rd
Staten Island, NY 10309
Phone
(718) 605-6767
Clinicians at this address
2

Registry record

Primary taxonomy
Adult Health Nurse Practitioner
363LA2200X
Also registered as
Registered Nurse
Adult Health Nurse Practitioner
Licence states on file
NY, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York