Provider Demographics
NPI:1871080275
Name:DRUYAN, BRIAN ZACHARY (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:ZACHARY
Last Name:DRUYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ACORN PONDS DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2817
Mailing Address - Country:US
Mailing Address - Phone:516-652-6298
Mailing Address - Fax:
Practice Address - Street 1:70 E 90TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1233
Practice Address - Country:US
Practice Address - Phone:212-722-7409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335873207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY335873OtherNEW YORK STATE DEPARTMENT OF HEALTH
FL35633OtherFLORIDA BOARD OF MEDICINE