Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTON FETISOV
Active Sole ProprietorANTON FETISOV is a Registered Nurse healthcare provider located in SOUTH FLORAL PARK, New York. NPI 1811698665 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · SOUTH FLORAL PARK, NY
Registration Details
- NPI Number
- 1811698665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2023 (3.430669956999 yrs)
- Last Updated
- Jun 9, 2025
- Licenses
-
033053 (NY)978345 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 KINGSTON AVESOUTH FLORAL PARK, NY, 110013517Browse NY providers · Browse ZIP 11001
- Phone
- 9299280468
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Registered Nurse
Other Registered Nurse Providers in SOUTH FLORAL PARK, NY
| Name | Credential | NPI |
|---|---|---|
| MISS CHARMAINE LOIS PITTER | RN | 1679862213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.