MEDICARE: DR. PAULA CALABRESE TZIKAS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	015149	NY

General Provider Information

NPI Number	:	1013054162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA CALABRESE TZIKAS PH.D.

Provider Business Mailing Address
First Line	:	248 DOVER PKWY
Second Line	:
City	:	STEWART MANOR
State	:	NY
Zip	:	11530-5024
Country	:	US
Telephone Number	:	917-509-7323
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 FRANKLIN AVE STE L6F
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5813
Country	:	US
Telephone Number	:	516-549-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	05/28/2026

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