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ST TEREIZA OFF OF PHY TER PC
NPI 1568657575
Specialist in Centereach, NY

Active since September 12, 2007
1787 MIDDLE COUNTRY RD, CENTEREACH, NY 11720(631) 467-3381(631) 467-3383 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About St Tereiza Off Of Phy Ter Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST TEREIZA OFF OF PHY TER PC (NPI 1568657575) is a healthcare organization registered as a specialist in Centereach, New York and active in the NPI registry since September 2007. The organization lists Malak Ishak Azab, Doctor Of Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1568657575
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST TEREIZA OFF OF PHY TER PC
Location Address1787 MIDDLE COUNTRY RDCentereach, NY 11720-3507
Mailing Address16 Deer LnEast Setauket, NY 11733-3407 · (631) 467-3381 · Fax (631) 467-3383
Phone(631) 467-3381
Fax(631) 467-3383
Organization SubpartNo
Authorized OfficialMalak Ishak AzabDoctor Of Physical Therapy · (631) 467-3381
Enumeration DateSeptember 12, 2007
Last NPPES UpdateJune 19, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1568657575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 021295
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1787 MIDDLE COUNTRY RD, Centereach, NY 11720
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL DESOIZA LMT
Massage Therapist
1787 MIDDLE COUNTRY RD
CENTEREACH, NY 11720
Suffolk County (631) 767-9337
AA MEDICAL, PC
Orthopaedic Surgery
1787 MIDDLE COUNTRY RD
CENTEREACH, NY 11720
Suffolk County (631) 981-2663
MR TRICOUNTY MEDICAL PC
Internal Medicine (Pulmonary Disease)
1787 MIDDLE COUNTRY RD
CENTEREACH, NY 11720
Suffolk County (631) 320-0447
KYUNG D. RYU M.S., L.AC.
Acupuncturist
1787 MIDDLE COUNTRY RD
CENTEREACH, NY 11720
Suffolk County (718) 321-3090
MR. DENNIS RYAN SHUMAR PTA
Physical Therapy Assistant
1787 MIDDLE COUNTRY RD
CENTEREACH, NY 11720
Suffolk County (631) 467-3381
DR. MALAK ISHAK AZAB PT,DPT
Physical Therapist
1787 MIDDLE COUNTRY RD
CENTEREACH, NY 11720
Suffolk County (631) 467-3381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Tereiza Off Of Phy Ter PC's NPI number?

The NPI number for St Tereiza Off Of Phy Ter PC is 1568657575. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is St Tereiza Off Of Phy Ter PC located?

St Tereiza Off Of Phy Ter PC is located at 1787 Middle Country Rd, Centereach, NY 11720. The listed phone number is (631) 467-3381.

What is St Tereiza Off Of Phy Ter PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for St Tereiza Off Of Phy Ter PC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.