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Bronx Borough Medical Practice PC

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bronx, NY · enumerated 2018 · authorized official Mack Sullivan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124590641

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Registry record

Entity type Organization (Type 2)
Legal business name Bronx Borough Medical Practice PC
Practice address 2494 Williamsbridge Rd, Bronx, NY, 10469
Phone (914) 395-3691
Enumeration date Dec 21, 2018
Last updated in NPPES Dec 21, 2018

Taxonomy & classification

207RS0010X Sports Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mack Sullivan
Title Owner
Phone (914) 395-3691

Other identifiers

Identifier Type State Issuer
115019 Other NY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-12-21. Verify at npiregistry.cms.hhs.gov.
Where is Bronx Borough Medical Practice PC located?
The practice location on file with NPPES is in Bronx, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-21.