Provider Demographics
NPI:1104089085
Name:TZAVARAS, ALEXANDER GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:GEORGE
Last Name:TZAVARAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2422
Mailing Address - Country:US
Mailing Address - Phone:718-881-0100
Mailing Address - Fax:
Practice Address - Street 1:3860 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2422
Practice Address - Country:US
Practice Address - Phone:718-960-1592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248887-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics