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

Mr. Evan Ross Kantor

Individual provider Registered Nurse · NPI 1144738691

Mr. Evan Ross Kantor is a Registered Nurse in Lake Grove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

21 Beaumont Ln
Lake Grove, NY 11755-2736
Phone: (631) 707-5462
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 850066-01 (NY)

Record details

NPI number1144738691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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