EVGENY ANTONOV

STATEN ISLAND, NY
NPI1376930156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  686164)
Enumeration Date2015-04-20
Last Update Date2015-04-20
Business Address
-- EVGENY ANTONOV
56 FOSTER RD
STATEN ISLAND, NY 10309-3011
Phone number: 718-605-6767
Mailing Address
-- EVGENY ANTONOV
56 FOSTER RD
STATEN ISLAND, NY 10309-3011
Phone number:
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