Individual
SAMUEL KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 LUDLOW ST, STATEN ISLAND, NY 10312-1923
(212) 365-0551
Mailing address
75 LUDLOW ST, STATEN ISLAND, NY 10312-1923
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
024545
NY
Other
Enumeration date
05/25/2010
Last updated
06/01/2020
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