| Gustave S. Drivas Md. Pc. | |
|
3377 Richmond Ave Basement Staten Island NY 10312-2025 | |
| (718) 948-3890 | |
| (718) 948-3961 |
| Full Name | Gustave S. Drivas Md. Pc. |
|---|---|
| Speciality | Anesthesiology - Pain Medicine |
| Location | 3377 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Gustave Stephen Drivas (PRESIDENT) |
| Authorized Official Contact | 7189483890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gustave S. Drivas Md. Pc. 3377 Richmond Ave Basement Staten Island NY 10312-2025 Ph: (718) 948-3890 | Gustave S. Drivas Md. Pc. 3377 Richmond Ave Basement Staten Island NY 10312-2025 Ph: (718) 948-3890 |
| NPI Number | 1477756377 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477756377 | NPI | - | NPPES |
| 01522467 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 186334 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 186334 (New York) | Primary |
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