Individual
ALEXIS TCHACONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1983 MARCUS AVE STE 130, NEW HYDE PARK, NY 11042-2004
(516) 802-6100
Mailing address
1983 MARCUS AVE STE 130, NEW HYDE PARK, NY 11042-2004
(516) 802-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
305502
NY
208000000X
Pediatrics Physician
Primary
305502
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/20/2019
Last updated
03/17/2024
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