Organization
BLUE RIDGE CARE
Active
Organization
BLUE RIDGE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHSAN BUTT (MANAGER)
(631) 838-5320
Entity
Organization
Contact information
Practice address
1797 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1537
(631) 838-5320
Mailing address
221 JAYNE BLVD, PORT JEFFERSON STATION, NY 11776-2905
(631) 838-5320
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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