| The Salvation Army | |
|
601 Crescent Ave Bronx NY 10458-8245 | |
| (718) 529-5410 | |
| (718) 329-5409 |
| Full Name | The Salvation Army |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Crescent Ave, Bronx, New York |
| Authorized Official Name and Position | Michael John Southwick (SECRETARY) |
| Authorized Official Contact | 8456207329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Salvation Army 440 West Nyack Road Po Box C-635 West Nyack NY 10994-1739 Ph: (845) 620-7200 | The Salvation Army 601 Crescent Ave Bronx NY 10458-8245 Ph: (718) 529-5410 |
| NPI Number | 1023285186 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023285186 | NPI | - | NPPES |
| 05174410 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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