Provider Demographics
NPI:1831809078
Name:GAFFNEY, SABRINA M (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BEACON DR
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-4309
Mailing Address - Country:US
Mailing Address - Phone:631-244-8676
Mailing Address - Fax:
Practice Address - Street 1:125 BEACON DR
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-4309
Practice Address - Country:US
Practice Address - Phone:631-244-8676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist