Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conifer Park, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1538180351

Conifer Park, Inc is a Substance Abuse Rehabilitation Facility in Glenville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

79 Glenridge Rd
Glenville, NY 12302-4523
Phone: (518) 952-8142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 00000 (NY)

Record details

NPI number1538180351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Betts — Business Office Manager · (518) 952-8142
NPI enumeratedJuly 21, 2006
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing addressPo Box 10092, Albany, NY 12201-5092