Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Gustafson, MD

Individual provider Interventional Cardiology Physician · NPI 1629077284

Gregory Gustafson, MD is an Interventional Cardiology Physician in Bayside, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4401 Francis Lewis Blvd
Bayside, NY 11361-3002
Phone: (718) 423-3355
Fax: (718) 423-3721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 138877 (NY)

Record details

NPI number1629077284
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESMay 3, 2011
Mailing address4401 Francis Lewis Blvd, Bayside, NY 11361-3002

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