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Organization
ST TEREIZA OFF OF PHY TER PC
Active
Organization
ST TEREIZA OFF OF PHY TER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALAK ISHAK AZAB PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(631) 467-3381
Entity
Organization
Contact information
Practice address
1787 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3507
(631) 467-3381
(631) 467-3383
Mailing address
16 DEER LN, EAST SETAUKET, NY 11733-3407
(631) 467-3381
(631) 467-3383
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021295
NY
Other
Enumeration date
09/12/2007
Last updated
06/19/2023
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