Mack Lee Sullivan MD Ms Urgent Medical Care of Eastchester, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

190101-1 Issued in NY

Legal business name

MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC

Practice address

369 White Plains Rd
Eastchester, NY 10709-2805

Phone

(914) 337-8743

Fax

(914) 337-8748

NPI assigned

Oct 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mack Lee Sullivan, MD

Title

Director of Operations

Phone

(914) 395-3691

Specialties & licenses 1

Addresses

Other names 1

• Eastchester Urgent Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1558799395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092805",
            "telephone_number": "914-337-8743",
            "fax_number": "914-337-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092805",
            "telephone_number": "914-337-8743",
            "fax_number": "914-337-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MACK LEE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "914-395-3691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "190101-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastchester Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfred Michael Lisanti, LAC.
• Xingwu Lu
• Linda Luciano
• Victoria Lusk, PSYD
• Mack Lee Sullivan MD Functional Medicine PC
• Tania Nicole Maggiolo
• Dina Marie Manginelli
• Nancy Neff Manister, DNS, FNP-BC
• Virginia Angela Mannello, PHARMD
• Catherine Anita Manning, OTR/L

• Urgent Care Clinic/Center in Eastchester, NY
• Providers in Eastchester, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.