| Mack Lee Sullivan Md Functional Medicine Pc | |
|
369 White Plains Rd Eastchester NY 10709-2805 | |
| (914) 395-3691 | |
| Not Available |
| Full Name | Mack Lee Sullivan Md Functional Medicine Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 369 White Plains Rd, Eastchester, New York |
| Authorized Official Name and Position | Mack Lee Sullivan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9143953691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mack Lee Sullivan Md Functional Medicine Pc 369 White Plains Rd Eastchester NY 10709-2805 Ph: (914) 395-3691 | Mack Lee Sullivan Md Functional Medicine Pc 369 White Plains Rd Eastchester NY 10709-2805 Ph: (914) 395-3691 |
| NPI Number | 1962333633 |
|---|---|
| Provider Enumeration Date | 05/28/2026 |
| Last Update Date | 05/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962333633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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