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CONIFER PARK INC. NPI 1649225897


NPI Information

NPI: 1649225897
Provider Name: CONIFER PARK, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 33D2028447

Address:
600 FRANKLIN ST
SCHENECTADY, NY
ZIP 12305
Phone: (518) 372-7031
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CONIFER PARK, INC. is a rehabilitation and substance use disorder clinic center in Schenectady, NY. CONIFER PARK, INC. NPI is 1649225897. The provider is registered as an organization entity type.

The provider's business location address is:

600 FRANKLIN ST
SCHENECTADY, NY
ZIP 12305-100
Phone: (518) 372-7031
Fax: (518) 372-7064

The provider's authorized official is Tammy Smith .
The authorized official title is Director, Op Billing Dept and has the following contact phone number (518) 952-8408.

The CLIA number assigned to this NPI record is 33D2028447 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 4/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101420800MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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