Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evgeny Antonov

Individual provider Registered Nurse · NPI 1376930156

Evgeny Antonov is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2015
Specialties on file
3

Practice location Address checks out

56 Foster Rd
Staten Island, NY 10309-3011
Phone: (718) 605-6767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 312910 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 686164 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11048524 (FL)

Record details

NPI number1376930156
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address56 Foster Rd, Staten Island, NY 10309-3011

Other providers in Staten Island