Provider Demographics
NPI:1689306375
Name:MICHAEL S. DREW MD PLLC
Entity Type:Organization
Organization Name:MICHAEL S. DREW MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-604-9228
Mailing Address - Street 1:600 OLD COUNTRY RD RM 1W
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2001
Mailing Address - Country:US
Mailing Address - Phone:646-604-9228
Mailing Address - Fax:212-388-6454
Practice Address - Street 1:600 OLD COUNTRY RD RM 1W
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2001
Practice Address - Country:US
Practice Address - Phone:646-604-9228
Practice Address - Fax:212-388-6454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty