Organization
MERIT REHAB PHYSICAL THERAPY ASSISTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KHALIL (MEMBER)
(212) 365-0551
Entity
Organization
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
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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