Individual
RAJESH MARIWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1175 MONTAUK HWY, SUITE #4, WEST ISLIP, NY 11795
(631) 422-9600
(631) 422-9697
Mailing address
1175 MONTAUK HWY, SUITE #4, WEST ISLIP, NY 11795
(631) 422-9600
(631) 422-9697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
153786
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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