Individual provider · Type 1 NPI
Anton Fetisov
Registered Nurse · South Floral Park, NY
Practice location
31 Kingston Ave
South Floral Park, NY 11001-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 033053 (NY) |
| Registered Nurse Primary | 163W00000X | 978345 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
Other registered nurse providers in South Floral Park
About NPI 1811698665
Anton Fetisov's National Provider Identifier is 1811698665, issued on Mar 16, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in South Floral Park, NY. The record was last updated on Jun 9, 2025.