Mack L Sullivan (NPI# 1881616068, PAC ID# 5698764314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1881616068 |
| PAC ID by PECOS | 5698764314 |
| Professional Enrollment ID | I20040508000152 |
| Full Name | Mack L Sullivan |
| Address |
369 White Plains Rd Eastchester NY 10709-2805 |
| Gender | M |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE, INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330304 | WHITE PLAINS HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 369 White Plains Rd, Eastchester, NY 10709-2805 | ||
| 369 White Plains Rd, Suite A, Eastchester, NY 10709-2805 |
| Street Address |
369 WHITE PLAINS RD |
| City | EASTCHESTER |
| State | NY |
| Zip | 10709-2805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven B Shapiro | Chiropractic | 369 White Plains Rd, Eastchester, NY 10709-2805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Saltzman | Nephrology | Trustees of Columbia University In The City of New York Cardiology Ass | 3 Michael Frey Dr, Suite 700, Eastchester, NY 10709-2725 |
| Yudelka Garcia | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Brianna G Vixama | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Ellen Wendy Cutler | Optometry | 375 White Plains Rd, Eastchester, NY 10709-2826 | |
| Glamilfi A Gutierrez | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Jessica A Flanagan | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Jane Kopacki | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Christina M Stephenson | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Samantha A Bangura | Nurse Practitioner | George Safran Md PC | 375 White Plains Rd, Eastchester, NY 10709-2826 |
| Catrina Jean | Family Medicine | Lawrence Medical Associates PC | 329 White Plains Rd, Suite 100, Eastchester, NY 10709-2908 |
| Find all physicians in zip 10709 | |||
| City | EASTCHESTER |
| Zip Code | 10709 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | EASTCHESTER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mack L Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.