369 MEDICAL PRACTICE PC (NPI# 1376141325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376141325 |
Entity Type | Organization |
Organization Name | 369 MEDICAL PRACTICE PC |
Practice Address |
369 White Plains Rd Eastchester NY 10709-2805 |
Practice Telephone | 9143693691 |
Mailing Telephone | 9143693691 |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |
Authorized Official Name | MACK SULLIVAN (OWNER) |
Authorized Official Telephone | 9143953691 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Street Address |
369 WHITE PLAINS RD |
City | EASTCHESTER |
State | NY |
Zip Code | 10709-2805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790873172 | Steven B Shapiro | Chiropractor | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2006-10-10 |
1568016228 | City Medical of Upper East Side, Pllc | Clinic/Center | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2019-07-30 |
1619324431 | Shivani Singla | Physical Therapist | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2016-05-22 |
1871963371 | Antonina Michelli | Physician Assistant | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2015-09-28 |
1811363161 | Fitness and Recovery Medical Practice, PC | Physician Assistant | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2015-08-20 |
1144633637 | Fitness and Recovery Medical Practice | Clinic/Center | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2014-06-03 |
1558799395 | Mack Lee Sullivan Md Ms Urgent Medical Care of Eastchester, Pllc | Clinic/Center | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2013-10-14 |
1487993069 | Jennifer L. Tricomi | Counselor | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2013-02-02 |
1700956802 | Eugene James Loveless | Psychologist | 369 White Plains Rd, Eastchester, NY 10709 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
1831615988 | Speech & Language Specialists, P.C. | Speech-Language Pathologist | 104 North Rd., Eastchester, NY 10709 | 2017-08-21 |
1780052761 | Lisa Ferrauto | Specialist | 266 White Plains Road, Suite 2a, Eastchester, NY 10709 | 2015-09-09 |
1285037317 | Michael Mccarthy | Pharmacist | 13 Huntley Rd., Eastchester, NY 10709 | 2014-10-03 |
1003159328 | David Paolo Trofa | Orthopaedic Surgery | 693 White Plains Road, Eastchester, NY 10709 | 2013-04-04 |
1912257114 | Jane Kopacki | Nurse Practitioner | 375 White Plains Road, Cvs Minuteclinic, Eastchester, NY 10709 | 2012-09-14 |
1427342575 | Radhika Sreeram | Internal Medicine | 440 Whiteplains Road, Eastchester, NY 10709 | 2011-06-07 |
1073823852 | Brittney Morgan Bernardini | Physician Assistant | 58 Ridge St, Eastchester, NJ 10709 | 2010-10-14 |
1669686176 | Bruce A Brandolin | Dentist | 274 White Plains Road, Eastchester, NY 10709 | 2007-05-10 |
1952449100 | Richard A Heide | Dentist | One Oakridge Place, Apt G, Eastchester, NY 10709 | 2007-02-01 |
Find all providers in zip 10709 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427342575 | Radhika Sreeram | Internal Medicine | 440 Whiteplains Road, Eastchester, NY 10709 | 2011-06-07 |
1598827628 | Susan P Campanile | Internal Medicine | 3 Michael Frey Drive, Eastchester, NY 10709-5059 | 2006-12-14 |
1619038866 | Niva Weber | Internal Medicine | 183 Beech St, Eastchester, NY 10709-3845 | 2006-12-12 |
1356419634 | Angel Luis Rodriguez | Internal Medicine | 685 White Plains Road, Eastchester, NY 10709 | 2006-12-02 |
1467537472 | Robert J Marzziotti | Internal Medicine | 24 Benedict Ave, Eastchester, NY 10709-5435 | 2006-10-26 |
1073601902 | Elena L Tsai | Internal Medicine | 3 Michael Frey Dr, Eastchester, NY 10709-2725 | 2006-10-10 |
1841383064 | Heidi S Sanger | Internal Medicine | Mmg - Eastchester, 440 White Plains Road, Eastchester, NY 10709 | 2006-10-02 |
1396757571 | Kenneth Edward Redcross | Internal Medicine | 475 White Plains Rd Ste 14, Eastchester, NY 10709-5537 | 2006-08-13 |
1992748826 | Steven Walden Pappas | Internal Medicine | 266 White Plains Rd, Suite 1-a, Eastchester, NY 10709-4429 | 2006-06-14 |
1235192923 | Veronique Anne Brinson | Internal Medicine | 440 White Plains Rd, Eastchester, NY 10709-2827 | 2006-04-11 |
Find all providers in EASTCHESTER |
City | EASTCHESTER |
Zip Code | 10709 |
Please comment or provide details below to improve the information on 369 MEDICAL PRACTICE PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.