# MERIT REHAB PHYSICAL THERAPY ASSISTANT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245841261
- **Authorized official:** SAMUEL SAMUEL KHALIL (MEMBER)
- **Authorized official phone:** (212) 365-0551

## Contact information

- **Practice address:** 75 LUDLOW ST, STATEN ISLAND, NY 10312-1923
- **Practice address phone:** (212) 365-0551
- **Mailing address:** 75 LUDLOW ST, STATEN ISLAND, NY 10312-1923
- **Mailing address phone:** (212) 365-0551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 08/14/2020