Gregory Gustafson, MD | |
4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | |
(718) 423-3355 | |
(718) 423-3721 |
Full Name | Gregory Gustafson |
---|---|
Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 4401 Francis Lewis Blvd, Bayside, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629077284 | NPI | - | NPPES |
00827358 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 138877 (New York) | Primary |
Entity Name | Newyork-presbyterian-queens |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013960962 PECOS PAC ID: 7315839933 Enrollment ID: O20040329000273 |
Entity Name | New York Queens Medicine And Surgery, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
Mailing Address | Practice Location Address |
---|---|
Gregory Gustafson, MD 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 Ph: (718) 423-3355 | Gregory Gustafson, MD 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 Ph: (718) 423-3355 |
Saffa Ahmad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-631-0500 | |
Mohamed Mansour, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2912 210th Pl, Bayside, NY 11360 Phone: 718-773-2011 Fax: 718-773-3728 | |
Svetlana Fuzaylova, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 Francis Lewis Blvd, Suite A, Bayside, NY 11361 Phone: 718-631-0500 Fax: 718-281-1276 | |
Dr. Michael John Papamichael, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-717-0280 Fax: 718-717-0286 | |
Miss Niyati N. Trivedi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 21435 42nd Ave, 3rd Floor, Bayside, NY 11361 Phone: 718-229-4868 | |
John Joachim Rawlings, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4402 Francis Lewis Blvd, Suite A, Bayside, NY 11361 Phone: 718-631-0500 Fax: 718-281-1276 | |
Elina Yushuvayev, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 22215 Northern Blvd Lbby A, Bayside, NY 11361 Phone: 718-215-0020 Fax: 616-226-4785 |