Healthcare Provider Details
I. General information
NPI: 1518190479
Provider Name (Legal Business Name): MSAF GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2009
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 SPRING VALLEY RD
OSSINING NY
10562-2001
US
IV. Provider business mailing address
15 SPRING VALLEY RD
OSSINING NY
10562-2001
US
V. Phone/Fax
- Phone: 914-333-7000
- Fax:
- Phone: 914-333-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3140N1450X |
| Taxonomy | Pediatric Skilled Nursing Facility |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name: MR.
ARON
FRIEDMAN
Title or Position: MEMBER
Credential:
Phone: 914-333-7000