369 Medical Practice Pc

LBN: 369 Medical Practice Pc
369 Medical Practice Pc is an health care organization with primary practice located at 369 White Plains Rd Fl 2 , Eastchester NY 10709-2805. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. 369 Medical Practice Pc can be contacted via phone (914) 395-3691, or through Sullivan, Mack via phone (914) 395-3691.

Contact Information

Primary practice address
369 White Plains Rd Fl 2 Eastchester NY 10709-2805
Phone: (914) 395-3691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Mack Doctor of Medicine (MD)
Phone: (914) 395-3691

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1376141325
LBN Legal business name 369 Medical Practice Pc
DBA Doing business as
Authorized official Sullivan, Mack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2020
Last updated Oct 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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