Healthcare Provider Details

I. General information

NPI: 1013054162
Provider Name (Legal Business Name): PAULA CALABRESE TZIKAS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 FRANKLIN AVE STE L6F
GARDEN CITY NY
11530-5813
US

IV. Provider business mailing address

248 DOVER PKWY
STEWART MANOR NY
11530-5024
US

V. Phone/Fax

Practice location:
  • Phone: 516-549-0500
  • Fax:
Mailing address:
  • Phone: 917-509-7323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number015149
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: