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

Bronx Borough Medical Practice PC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1124590641

Bronx Borough Medical Practice PC is a Sports Medicine (Internal Medicine) Physician in Bronx, New York. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2494 Williamsbridge Rd
Bronx, NY 10469-4806
Phone: (914) 395-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X

Record details

NPI number1124590641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mack Sullivan — Owner · (914) 395-3691
NPI enumeratedDecember 21, 2018
Last updated in NPPESDecember 21, 2018
Mailing address369 White Plains Rd Ste B, Eastchester, NY 10709-2805