Organization
GUSTAVE S. DRIVAS MD. PC.
Active
Other names
Huguenot Laser Arts and Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVE STEPHEN DRIVAS MD (PRESIDENT)
(718) 948-3890
Entity
Organization
Contact information
Practice address
3377 RICHMOND AVE, BASEMENT, STATEN ISLAND, NY 10312-2025
(718) 948-3890
(718) 948-3961
Mailing address
3377 RICHMOND AVE, BASEMENT, STATEN ISLAND, NY 10312-2025
(718) 948-3890
(718) 948-3961
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
186334
NY
207R00000X
Internal Medicine Physician
186334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522467
—
NY
Enumeration date
06/07/2007
Last updated
02/25/2008
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