Individual ProviderMark SamaanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5405 Hylan Blvd, Staten Island, NY 10312-5201(917) 397-9700(551) 427-8862PECOS EnrollmentBased on the most recent information from CMS, provider Mark Samaan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1205304227Provider TypeIndividualFull NameSamaan, MarkTitleDr.CredentialPT, DPTGenderMaleSole ProprietorYesEnumeration Date11/7/2018Last Updated6/30/2024Contact InformationPractice LocationPractice Address5405 Hylan Blvd, Staten Island, NY 10312-5201Phone(917) 397-9700FaxUnlisted FaxMailing LocationMailing Address223 Bennett Ave, Staten Island, NY 10312-4057Phone(551) 427-8862FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense043727New York