Healthcare Provider Details

I. General information

NPI: 1760943690
Provider Name (Legal Business Name): ALEXANDER DELVLAHOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEXANDER VLAHOS MD

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL FL 29
BRONX NY
10461-2720
US

IV. Provider business mailing address

101 W 79TH ST APT 12A
NEW YORK NY
10024-6479
US

V. Phone/Fax

Practice location:
  • Phone: 718-944-3838
  • Fax:
Mailing address:
  • Phone: 410-487-2981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number320974
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number320974
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: