Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Olivia Mavros

Individual provider Physician Assistant · NPI 1396616017

Mackenzie Olivia Mavros is a Physician Assistant in Hempstead, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1000 Hempstead Tpke
Hempstead, NY 11549-0001
Phone: (516) 581-0034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396616017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address241 Idle Hour Blvd, Oakdale, NY 11769-1935

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