Conifer Park, Inc.

LBN: Conifer Park, Inc.
Conifer Park, Inc. is an health care organization with primary practice located at 2435 6Th Ave , Troy NY 12180-2227. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Conifer Park, Inc. can be contacted via phone (518) 274-5143, or through Smith, Tammy via phone (518) 952-8408.

Contact Information

Primary practice address
2435 6Th Ave Troy NY 12180-2227
Phone: (518) 274-5143
Fax: (518) 273-1350
Website:
Map and Directions
Authorized official contact:
Name: Smith, Tammy
Phone: (518) 952-8408

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1356396543
LBN Legal business name Conifer Park, Inc.
DBA Doing business as
Authorized official Smith, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Apr 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356396543 NPPES
New York MEDICAID 01420800

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