MEDICARE: MARIE KHALIL

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1376493593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE KHALIL

Provider Business Mailing Address
First Line	:	4 WILLOW PL
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-1680
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 SUMMIT ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10307-1829
Country	:	US
Telephone Number	:	718-285-9377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

Similar Medicare Providers

1255193371 — SYDNEY MARIE ZAMBONI MS, OTR/L
Practice Location Address:

23 SUMMIT ST
STATEN ISLAND, NY
10307-1829

Practice Phone: 718-285-9377
Practice Fax:

1770337214 — TSUN YAN CHOW M.S, OTR/L
Practice Location Address:

23 SUMMIT ST
STATEN ISLAND, NY
10307-1829

Practice Phone: 718-285-9377
Practice Fax:

1447058375 — KRITIKA KUMAR
Practice Location Address:

23 SUMMIT ST
STATEN ISLAND, NY
10307-1829

Practice Phone: 718-285-9377
Practice Fax:

1508650102 — NICOLE FRACCHIOLLA
Practice Location Address:

23 SUMMIT ST
STATEN ISLAND, NY
10307-1829

Practice Phone: 718-285-9377
Practice Fax:

1619159324 — RADMILA GUREVICH M.A, CCC-SLP
Practice Location Address:

1829 RICHMOND RD
STATEN ISLAND, NY
10306-2560

Practice Phone: 718-259-4001
Practice Fax: 718-259-2009

1235460031 — PRE-CARE SPEECH LANGUAGE PATHOLOGY PC.
Practice Location Address:

1829 RICHMOND RD
STATEN ISLAND, NY
10306-2560

Practice Phone: 718-259-4001
Practice Fax: 718-351-2009

Directions to “ MARIE KHALIL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.