St Tereiza Off of Phy Ter PC
NPI #1568657575 in Centereach, New York
Provider Information
- NPI Number
- 1568657575
- Entity Type
- Organization
- Organization Name
- St Tereiza Off of Phy Ter PC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Jun 19, 2023
Practice Location
- Address
- 1787 MIDDLE COUNTRY RD
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3507
- Phone
- (631) 467-3381
Authorized Official
- Name
- DR. MALAK ISHAK AZAB, PT, DPT
- Title
- DOCTOR OF PHYSICAL THERAPY
- Phone
- (631) 467-3381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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