MR. Evan Ross Kantor
NPI #1144738691 in Lake Grove, New York
Provider Information
- NPI Number
- 1144738691
- Entity Type
- Individual
- Name
- MR. Evan Ross Kantor
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Jul 2, 2024
Practice Location
- Address
- 21 BEAUMONT LN
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2736
- Phone
- (631) 707-5462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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