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MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER PLLC NPI 1558799395


NPI Information

NPI: 1558799395
Provider Name: MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC

Doing Business As: EASTCHESTER URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2068672

Address:
369 WHITE PLAINS RD
EASTCHESTER, NY
ZIP 10709
Phone: (914) 337-8743
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MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC is an urgent care clinic center in Eastchester, NY. MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC NPI is 1558799395. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastchester Urgent Care.

The provider's business location address is:

369 WHITE PLAINS RD
EASTCHESTER, NY
ZIP 10709-805
Phone: (914) 337-8743
Fax: (914) 337-8748

The provider's authorized official is Mack Lee Sullivan .
The authorized official title is Director Of Operations and has the following contact phone number (914) 395-3691.

The CLIA number assigned to this NPI record is 33D2068672 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 6/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent Care190101-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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