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Organization

THE SALVATION ARMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL JOHN SOUTHWICK (SECRETARY)
(845) 620-7329
Entity
Organization

Contact information

Practice address
440 W NYACK RD, WEST NYACK, NY 10994-1753
(845) 620-7200
Mailing address
440 WEST NYACK ROAD, WEST NYACK, NY 10944-1739
(845) 620-7200

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
7156441
NY

Other

Enumeration date
12/20/2007
Last updated
07/21/2022
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