IndividualActive
Kavita Mariwalla, M.D
NPI 1962674184 · MOHS-Micrographic Surgery Physician · West Islip, NY
Provider details
- NPI number
- 1962674184
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 046352 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1253 Montauk Highway
West Islip, NY 11795-4916
Phone: (631) 665-3376
Fax: (631) 969-3370
Approximate (ZIP-level) locationGet directions
Mailing address
1253 Montauk Highway
West Islip, NY 11795-4916
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.