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Organization
FITNESS AND RECOVERY MEDICAL PRACTICE, PC
Active
Organization
FITNESS AND RECOVERY MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACK LEE SULLIVAN MD (DIRECTOR OF OPERATIONS)
(914) 395-3691
Entity
Organization
Contact information
Practice address
369 WHITE PLAINS RD, EASTCHESTER, NY 10709-2805
(914) 395-3691
Mailing address
369 WHITE PLAINS RD, EASTCHESTER, NY 10709-2805
(914) 395-3691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018927-1
NY
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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