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1003867730
GUSTAVE STEPHEN DRIVAS
STATEN ISLAND, NY
NPI
1003867730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 186334)
Enumeration Date
2006-05-15
Last Update Date
2008-02-19
Business Address
Dr. GUSTAVE STEPHEN DRIVAS M.D.,
5405 HYLAN BLVD
STATEN ISLAND, NY 10312-5241
Phone number: 718-948-3890
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Mailing Address
Dr. GUSTAVE STEPHEN DRIVAS M.D.,
5405 HYLAN BLVD
STATEN ISLAND, NY 10312-5241
Phone number: 718-948-3890
Copy
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