| Mr Evan Ross Kantor, | |
|
21 Beaumont Ln, Lake Grove, NY 11755-2736 | |
| (631) 707-5462 | |
| Not Available |
| Full Name | Mr Evan Ross Kantor |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 21 Beaumont Ln, Lake Grove, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144738691 | NPI | - | NPPES |
| 1293728403 | Other | NY | UNITEDHEALTHCARE-OXFORD |
| 891120002 | Other | NY | NYSHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 850066-01 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Evan Ross Kantor, 21 Beaumont Ln, Lake Grove, NY 11755-2736 Ph: (631) 707-5462 | Mr Evan Ross Kantor, 21 Beaumont Ln, Lake Grove, NY 11755-2736 Ph: (631) 707-5462 |
Rachel Calire, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12 Frederick Ave, Lake Grove, NY 11755 Phone: 631-566-5706 | |
Amanda Katherine Loiselle, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 79 Mcgaw Ave, Lake Grove, NY 11755 Phone: 631-656-0820 | |
Patricia E Penna, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14 Tulip Grove Dr, Lake Grove, NY 11755 Phone: 631-981-0704 | |
Carli Pusateri, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 18 Sterling Dr, Lake Grove, NY 11755 Phone: 631-838-0133 | |
Tiffany Cooper, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 99 Orienta Ave, Lake Grove, NY 11755 Phone: 631-681-5192 | |
Mrs. Teresa Smith, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 34 Beaumont Lane, Lake Grove, NY 11755 Phone: 631-737-0725 |