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BLUE HARBOR MEDICAL, P.C.

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Company Details

Name: BLUE HARBOR MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Aug 2014 (11 years ago)
Entity Number: 4616308
ZIP code: 11733
County: Suffolk
Place of Formation: New York
Address: 4 TECHNOLOGY DRIVE, EAST SETAUKET, NY, United States, 11733

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4 TECHNOLOGY DRIVE, EAST SETAUKET, NY, United States, 11733

National Provider Identifier

NPI Number:
1376940742

Authorized Person:

Name:
KARIM A PARACHA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6314034737

Filings

Filing Number Date Filed Type Effective Date
140804000175 2014-08-04 CERTIFICATE OF INCORPORATION 2014-08-04

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State