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Contact Information

MARIWALLA DERMATOLOGY, PLLC
1253 MONTAUK HWY
WEST ISLIP, NY11795-4916
 Phone: 631-665-3376
 Fax: 631-969-3376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARIWALLA DERMATOLOGY, PLLC

NPI Number 1891094322
LBN Legal business name MARIWALLA DERMATOLOGY, PLLC
Authorized official KAVITA MARIWALLA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2011
Last updated 04/20/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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