Fitness & Recovery, LLC
Organization Active NPI Sports Medicine (Emergency Medicine) Physician · Tuckahoe, NY
NPI 1801064167 · NPPES record last updated Sep 4, 2008
Key facts
- NPI
- 1801064167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Emergency Medicine) Physician 207PS0010X
- License
- 203477 (NY)
- Legal business name
- FITNESS & RECOVERY, LLC
- Practice address
- 150 Lake Ave
Tuckahoe, NY 10707-3306 - Phone
- (914) 395-3691
- Fax
- (914) 395-3693
- NPI assigned
- Feb 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mack Lee Sullivan, M.D.
- Title
- President
- Phone
- (914) 395-3691
Practitioners 1
-
Mack Lee Sullivan, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician |
207PS0010X | 203477 | NY | Yes |
Addresses
Primary practice location
150 Lake Ave
Tuckahoe, NY 10707-3306
Mailing address
150 Lake Ave
Tuckahoe, NY 10707-3306
Phone (914) 395-3691
Other providers in Tuckahoe, NY
- William Finnerty
- Sashan Yanique Finnikin
- Fischer Psychological Services, P.C.
- Susan Hardwick Fischer
- Thomas Aquinas Fischer
- Ivan Flores
- Lisa Marie Fragola
- Frank P. Petronella DDS PC
- Carole Sonnenfeld Geithner
- James Eric Genova
All providers in Tuckahoe, NY · Sports Medicine (Emergency Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.