DR. Gustave Stephen Drivas, M.D.,

NPI #1003867730 in Staten Island, New York

Provider Information

NPI Number: 1003867730
Entity Type: Individual
Name: DR. Gustave Stephen Drivas, M.D.,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.,
Enumeration Date: May 15, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 5405 HYLAN BLVD
City: Staten Island
State: New York
ZIP Code: 10312-5241
Phone: (718) 948-3890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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