OrganizationActive
Fitness & Recovery, LLC
NPI 1801064167 · Sports Medicine (Emergency Medicine) Physician · Tuckahoe, NY
Provider details
- NPI number
- 1801064167
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mack Sullivan, President
- License
- 203477 (NY)
Practice location
150 Lake Ave
Tuckahoe, NY 10707-3306
Phone: (914) 395-3691
Fax: (914) 395-3693
Mailing address
150 Lake Ave
Tuckahoe, NY 10707-3306
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2008-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.