Mariwalla, Kavita

Mariwalla, Kavita is an sole proprietor health care provider with primary practice located at 1253 Montauk Highway , West Islip NY 11795-4916. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Mariwalla, Kavita can be contacted via phone (631) 665-3376.

Contact Information

Primary practice address
1253 Montauk Highway West Islip NY 11795-4916
Phone: (631) 665-3376
Fax: (631) 969-3370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 046352 Connecticut
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 253189 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 253189 New York
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 046352 Connecticut

Profile Details

NPI number 1962674184
LBN Legal business name Mariwalla, Kavita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2008
Last updated Sep 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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