Individual provider · Type 1 NPI

Mackenzie Olivia Mavros

Physician Assistant · Hempstead, NY

NPI number 1396616017 Active

Practice location

1000 Hempstead Tpke
Hempstead, NY 11549-0001

Call (516) 581-0034 Map

Mailing address

241 Idle Hour Blvd
Oakdale, NY 11769-1935

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396616017

Mackenzie Olivia Mavros's National Provider Identifier is 1396616017, issued on Sep 16, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hempstead, NY. The record was last updated on Jan 14, 2026.