Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

369 Medical Practice PC

Organization Family Medicine Physician · NPI 1376141325

369 Medical Practice PC is a Family Medicine Physician in Eastchester, New York. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

369 White Plains Rd Fl 2
Eastchester, NY 10709-2805
Phone: (914) 395-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 189 Us Highway 46, Saddle Brook, NJ 07663-6215 — (914) 369-3691

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1376141325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mack Sullivan — Owner · (914) 395-3691
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address369 White Plains Rd, Eastchester, NY 10709-2805

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