Organization
FITNESS AND RECOVERY MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. 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
(914) 395-3693
Mailing address
369 WHITE PLAINS RD, EASTCHESTER, NY 10709-2805
(914) 395-3691
(914) 395-3693
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
037690
NY
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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