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NPI Code Detail

MEDICARE: REKINECT LLC

MEDICARE: REKINECT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1083262448
Entity Type Code : Organization
Provider Name (Legal Business Name) : REKINECT LLC
Provider Business Mailing Address
First Line : 223 BENNETT AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-4057
Country : US
Telephone Number : 551-427-8862
Fax Number :
Provider Business Practice Location Address
First Line : 5405 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5201
Country : US
Telephone Number : 917-397-9700
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. MARK SAMAAN
Credential : PT, DPT
Telephone Number : 551-427-8862
Provider Enumeration Date : 08/29/2019
Last Update Date : 06/30/2024

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Directions to “REKINECT LLC ” Practice Location

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