Mack Lee Sullivan in Eastchester - Emergency Medicine

Mack Lee Sullivan - NPI 1881616068

Mack Lee Sullivan is a Emergency Medicine in Eastchester, New York. Mack Lee Sullivan practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mack Lee Sullivan is 1881616068. The last update date is 2015-08-24.

Mack Lee Sullivan's current location address is 369 White Plains Rd, Eastchester, New York. You can contact this provider via phone number 9143953691 and fax number 9143953693. The mailing address for Mack Lee Sullivan is 369 White Plains Rd, Eastchester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mack Lee Sullivan
Address 369 White Plains Rd, Eastchester, New York
Phone Number 9143953691
Fax Number 9143953693
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1881616068
Provider Enumeration Date 2006-07-24
Last Updated Date 2015-08-24

Provider Mailing Address Detail

Address 369 White Plains Rd
City Eastchester
State New York (NY)
Post Code 107092805
Phone Number 9143953691
Fax Number 9143953693

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 203477-1
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5C5609 NY HEALTHNET

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FAQs about Mack Lee Sullivan

What is the Mack Lee Sullivan's unique identification number?

The Mack Lee Sullivan has been assigned the NPI (National Provider Identifier) Number 1881616068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Mack Lee Sullivan's facilities are geographically located?

The facilities of Mack Lee Sullivan are physically situated at the following location: 369 White Plains Rd, Eastchester, NY, 107092805.

What is the Mack Lee Sullivan's specialty and taxonomy code?

The Mack Lee Sullivan's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1881616068 to Mack Lee Sullivan?

The Mack Lee Sullivan received its 1881616068 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.

As of what date was the information pertaining to Mack Lee Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mack Lee Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-24.

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