Kantor, Evan Ross

Kantor, Evan Ross is an sole proprietor health care provider with primary practice located at 21 Beaumont Ln , Lake Grove NY 11755-2736. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Kantor, Evan Ross can be contacted via phone (631) 707-5462.

Contact Information

Primary practice address
21 Beaumont Ln Lake Grove NY 11755-2736
Phone: (631) 707-5462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 850066-01 New York

Profile Details

NPI number 1144738691
LBN Legal business name Kantor, Evan Ross
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2018
Last updated Jul 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144738691 NPPES
New York Other 1293728403 UNITEDHEALTHCARE-OXFORD
New York Other 891120002 UNITEDHEALTHCARE-OXFORD

Popular Providers