Conifer Park, Inc
Conifer Park, Inc is a Substance Use Disorder Rehabilitation Clinic/Center in Glenville, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
79 Glenridge Rd Cottage #1Glenville, NY 12302-4523
Phone: (518) 952-8121
Fax: (518) 952-8287
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 081110730 (NY) |
|---|
Record details
| NPI number | 1336339969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tammy Smith — Op Business Manager · (518) 952-8408 |
| NPI enumerated | July 30, 2007 |
| Last updated in NPPES | December 23, 2021 |
| Certification date | December 23, 2021 |
| Mailing address | Po Box 10092, Albany, NY 12201-5092 |