# GUSTAVE S. DRIVAS MD. PC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huguenot Laser Arts and Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477756377
- **Authorized official:** DR. GUSTAVE STEPHEN DRIVAS MD (PRESIDENT)
- **Authorized official phone:** (718) 948-3890

## Contact information

- **Practice address:** 3377 RICHMOND AVE, BASEMENT, STATEN ISLAND, NY 10312-2025
- **Practice address phone:** (718) 948-3890
- **Practice address fax:** (718) 948-3961
- **Mailing address:** 3377 RICHMOND AVE, BASEMENT, STATEN ISLAND, NY 10312-2025
- **Mailing address phone:** (718) 948-3890
- **Mailing address fax:** (718) 948-3961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 186334 | NY | Yes |
| 207R00000X | Internal Medicine Physician | 186334 | NY | — |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 02/25/2008