Organization
MACK LEE SULLIVAN MD FUNCTIONAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACK LEE SULLIVAN MD (MEDICAL DIRECTOR)
(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
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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