Azab, Malak Ishak
Azab, Malak Ishak is an sole proprietor health care provider with primary practice located at 1787 Middle Country Rd , Centereach NY 11720-3507. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Azab, Malak Ishak can be contacted via phone (631) 467-3381.Contact Information
Primary practice address
1787 Middle Country Rd
Centereach NY 11720-3507
Phone: (631) 467-3381
Fax: (631) 467-3383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 021295 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 021295 | New York |
Profile Details
| NPI number | 1972726909 |
|---|---|
| LBN Legal business name | Azab, Malak Ishak |
| Credentials | PT,DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jun 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972726909 | NPPES |
| New York | MEDICAID | 02554823 |
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