Sullivan, Mack Lee

Sullivan, Mack Lee is an individual health care provider with primary practice located at 369 White Plains Rd , Eastchester NY 10709-2805. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Sullivan, Mack Lee can be contacted via phone (914) 395-3691.

Contact Information

Primary practice address
369 White Plains Rd Eastchester NY 10709-2805
Phone: (914) 395-3691
Fax: (914) 395-3693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 203477 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 203477 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 203477 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 203477-1 New York

Profile Details

NPI number 1881616068
LBN Legal business name Sullivan, Mack Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 1st, 2026 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881616068 NPPES
New York Other 5C5609 HEALTHNET

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