MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC (NPI# 1558799395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558799395 |
| Entity Type | Organization |
| Organization Name | MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC |
| Other Organization Name | EASTCHESTER URGENT CARE |
| Practice Address |
369 White Plains Rd Eastchester NY 10709-2805 |
| Practice Telephone | 9143378743 |
| Practice Fax Number | 9143378748 |
| Mailing Telephone | 9143378743 |
| Mailing Fax Number | 9143378748 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | DR. MACK LEE SULLIVAN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9143953691 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
190101-1 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eastchester Urgent Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC | 369 White Plains Road, Eastchester, Ny 10709 |
| 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 |
| 1376141325 | 369 Medical Practice PC | Internal Medicine | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2020-10-13 |
| 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 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016228 | City Medical of Upper East Side, Pllc | Clinic/Center | 369 White Plains Rd, Eastchester, NY 10709-2805 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | EASTCHESTER |
| Zip Code | 10709 |
Please comment or provide details below to improve the information on MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC.
| 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.