MARIWALLA DERMATOLOGY, PLLC

WEST ISLIP, NY
NPI1891094322
Entity TypeOrganization
Authorized ContactKAVITA MARIWALLA
Owner
631-665-3376
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
Enumeration Date2011-03-23
Last Update Date2017-04-20
Business Address
MARIWALLA DERMATOLOGY, PLLC
1253 MONTAUK HWY
WEST ISLIP, NY 11795-4916
Phone number: 631-665-3376
Mailing Address
MARIWALLA DERMATOLOGY, PLLC
1253 MONTAUK HWY
WEST ISLIP, NY 11795-4916
Phone number: 631-665-3376
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