Provider Demographics
NPI:1679883193
Name:MSAF GROUP LLC
Entity Type:Organization
Organization Name:MSAF GROUP LLC
Other - Org Name:SUNSHINE CHILDREN'S HOME AND REHAB CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOPEC
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:914-333-7064
Mailing Address - Street 1:15 SPRING VALLEY ROAD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562
Mailing Address - Country:US
Mailing Address - Phone:914-333-7064
Mailing Address - Fax:
Practice Address - Street 1:15 SPRING VALLEY ROAD
Practice Address - Street 2:PHARMACY
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562
Practice Address - Country:US
Practice Address - Phone:914-333-7064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0298443140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric