Organization · Type 2 NPI

Mack Lee Sullivan MD Functional Medicine PC

Primary Care Clinic/Center · Eastchester, NY

NPI number 1962333633 Active

About NPI 1962333633

Mack Lee Sullivan MD Functional Medicine PC's National Provider Identifier is 1962333633, issued on May 28, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eastchester, NY. The record was last updated on May 28, 2026.