OrganizationActive
Mariwalla Dermatology, PLLC
NPI 1891094322 · MOHS-Micrographic Surgery Physician · West Islip, NY
Provider details
- NPI number
- 1891094322
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kavita Mariwalla, Owner(631) 665-3376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1253 Montauk Hwy
West Islip, NY 11795-4916
Phone: (631) 665-3376
Fax: (631) 969-3376
Approximate (ZIP-level) locationGet directions
Mailing address
1253 Montauk Hwy
West Islip, NY 11795-4916
Registry dates
- Enumerated
- 2011-03-23
- Last updated
- 2017-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.