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Individual
EVGENY ANTONOV
Active
Individual
EVGENY ANTONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686164
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
312910
NY
363LA2200X
Adult Health Nurse Practitioner
APRN11048524
FL
Other
Enumeration date
04/20/2015
Last updated
07/22/2026
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