Individual provider · Type 1 NPI

Ivan Ivanovich Drazek, PA-C

Physician Assistant · Fayetteville, NY

NPI number 1285814616 Active

Practice location

4000 Medical Center Drive, #115
Fayetteville, NY 13066

Fax (315) 744-1957

Mailing address

307 Broadmoor Dr
Camillus, NY 13031-2443

Other practice locations

  • 5301 W Genesee St, Camillus, NY 13031-2238 · (315) 833-9303
  • 301 Prospect Ave, Syracuse, NY 13203-1807 · (315) 448-5111

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1074875 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285814616

Ivan Ivanovich Drazek, PA-C's National Provider Identifier is 1285814616, issued on Nov 14, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NY. The record was last updated on Oct 22, 2026.