Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Tereiza Off of Phy Ter PC

Organization Specialist · NPI 1568657575

St Tereiza Off of Phy Ter PC provides Specialist services in Centereach, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1787 Middle Country Rd
Centereach, NY 11720-3507
Phone: (631) 467-3381
Fax: (631) 467-3383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 021295 (NY)

Record details

NPI number1568657575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malak Azab — Doctor Of Physical Therapy · (631) 467-3381
NPI enumeratedSeptember 12, 2007
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address16 Deer Ln, East Setauket, NY 11733-3407

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