Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Tereiza Off of Phy Ter PC

Organization Specialist · NPI 1568657575

St Tereiza Off of Phy Ter PC is a Specialist 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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