NPI 1164712329

Matthew Nicholas Mavroson, DO

Practitioner Internal Medicine Physician Roslyn Heights, NY

Practice location

Address: 57 Laurel Ln, Roslyn Heights, NY 11577-1608
Phone: (516) 313-9949
Fax: (516) 300-1607
Mailing address: 1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 281826 (NY)

Other Internal Medicine providers in New York →

Registry record

NPI: 1164712329
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2011
Record last updated: 23 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.