MACK LEE SULLIVAN MD FUNCTIONAL MEDICINE PC
NPI 1962333633
Clinic/Center - Primary Care in Eastchester, NY
About Mack Lee Sullivan Md Functional Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACK LEE SULLIVAN MD FUNCTIONAL MEDICINE PC (NPI 1962333633) is a healthcare organization registered as a primary care in Eastchester, New York and active in the NPI registry since May 2026. The organization lists Mack Lee Sullivan, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EASTCHESTER, NY 10709
EASTCHESTER, NY 10709
EASTCHESTER, NY 10709
EASTCHESTER, NY 10709
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mack Lee Sullivan MD Functional Medicine PC's NPI number?
The NPI number for Mack Lee Sullivan MD Functional Medicine PC is 1962333633. It was assigned to this organization in the NPPES registry on May 28, 2026.
Where is Mack Lee Sullivan MD Functional Medicine PC located?
Mack Lee Sullivan MD Functional Medicine PC is located at 369 White Plains Rd, Eastchester, NY 10709. The listed phone number is (914) 395-3691.
What is Mack Lee Sullivan MD Functional Medicine PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Mack Lee Sullivan MD Functional Medicine PC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
