Gustave S. Drivas Md. Pc.

NPI 1477756377 - Internal Medicine - 207R00000X

NPI Details
NPI 1477756377
Enumeration Date 06/07/2007
Last Updated 02/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GUSTAVE STEPHEN GUSTAVE
Position PRESIDENT
Phone (718) 948-3890
Fax (718) 948-3961
Practice Location
3377 RICHMOND AVE
BASEMENT
STATEN ISLAND NY, 10312-2025, US
Phone (718) 948-3890
Fax (718) 948-3961
Business Location
3377 RICHMOND AVE
BASEMENT
STATEN ISLAND NY, 10312-2025, US
Phone (718) 948-3890
Fax (718) 948-3961
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 186334
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According to our database, Gustave S. Drivas Md. Pc. NPI is 1477756377, taxonomy code is 207R00000X and license number is 186334, license state is located at New York. Gustave S. Drivas Md. Pc. physically located at 3377 Richmond Ave, Staten Island NY, 10312-2025. NPI Number 1033115704 has the healthcare provider type.

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1477756377 NPI number is provided on an as is basis without warranty of any kind. 1477756377 is maintained by the National Plan & Provider Enumeration System. The contents of Gustave S. Drivas Md. Pc. are for informational purposes only.