Organization
BLUE HARBOR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIM A PARACHA MD (OWNER)
(631) 675-6865
Entity
Organization
Contact information
Practice address
4 TECHNOLOGY DR, SUITE 240, EAST SETAUKET, NY 11733-4080
(631) 675-6865
(631) 403-4737
Mailing address
PO BOX 2127, SAINT JAMES, NY 11780-2280
(631) 675-6865
(631) 403-4737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
254899
NY
Other
Enumeration date
12/01/2014
Last updated
08/25/2015
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