CONIFER PARK, INC. (NPI# 1649225897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649225897 |
| Entity Type | Organization |
| Organization Name | CONIFER PARK, INC. |
| Practice Address |
600 Franklin St Schenectady NY 12305-2100 |
| Mailing Address |
Po Box 10547 Albany NY 12201-5547 |
| Practice Telephone | 5183727031 |
| Practice Fax Number | 5183727064 |
| Mailing Telephone | 5189528408 |
| Mailing Fax Number | 5189528287 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | MS. TAMMY SMITH (DIRECTOR, OP BILLING DEPT) |
| Authorized Official Telephone | 5189528408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730379504 | Conifer Park, Inc. | Clinic/Center | 323 Lake Hill Road, Hawley Cottage, 1st Floor, Burnt Hills, NY 12027-9772 | 2007-07-27 |
| 1346296720 | Conifer Park, Inc. | Clinic/Center | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2006-05-26 |
| 1235185612 | Conifer Park, Inc. | Clinic/Center | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2006-05-26 |
| 1366498768 | Conifer Park, Inc. | Clinic/Center | 526 Old Liverpool Rd, Liverpool, NY 13088-6238 | 2006-05-26 |
| 1972558179 | Conifer Park, Inc. | Clinic/Center | 55 Elm St, Glens Falls, NY 12801-3549 | 2006-05-24 |
| 1356396543 | Conifer Park, Inc. | Clinic/Center | 2435 6th Ave, Troy, NY 12180-2227 | 2006-05-24 |
| 1154652709 | Conifer Park, Inc. | Substance Abuse Rehabilitation Facility | 15 Henning Rd, F. Donald Myers Education Center, Saratoga Springs, NY 12866-3749 | 2010-01-21 |
| 1336339969 | Conifer Park, Inc. | Clinic/Center | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2007-07-30 |
| 1366632986 | Conifer Park, Inc. | Clinic/Center | 216 Main St, Suite #2, Hudson Falls, NY 12839-1813 | 2007-07-30 |
| 1023208139 | Conifer Park, Inc. | Clinic/Center | 1051 Dix Ave, Buildings E and G, 1st Floors, Hudson Falls, NY 12839-1053 | 2007-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CONIFER PARK, INC. | 79 Glenridge Road, Glenridge, Ny 12302 |
| Street Address |
600 FRANKLIN ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12305-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916765 | Dawn Relation | Counselor | 600 Franklin St, Schenectady, NY 12305-2107 | 2016-04-04 |
| 1669832416 | Steven Whitney | Counselor | 600 Franklin St, Suite 204, Schenectady, NY 12305-2101 | 2016-03-07 |
| 1326403965 | Vision Care Associates | Optometrist | 600 Franklin St, Schenectady, NY 12305-2101 | 2015-12-28 |
| 1538538467 | Briana Link | Social Worker | 600 Franklin St, Suite 204, Schenectady, NY 12305-2107 | 2015-09-22 |
| 1427448570 | Gayann Collash | Counselor | 600 Franklin St, Schenectady, NY 12305-2107 | 2015-01-28 |
| 1285034397 | Brendon Russell | Counselor | 600 Franklin St, Schenectady, NY 12305-2107 | 2014-08-26 |
| 1710227236 | Kelly Spoonogle | Counselor | 600 Franklin St, Schenectady, NY 12305-2107 | 2013-02-20 |
| 1295089647 | Dawn Lacarte | Counselor | 600 Franklin St, Schenectady, NY 12305-2107 | 2012-11-07 |
| 1811249261 | Sarah E. Powers | Counselor | 600 Franklin St, Schenectady, NY 12305-2107 | 2012-10-10 |
| 1134487044 | Avril Dsouza | Dentist | 600 Franklin St, Suite 114, Schenectady, NY 12305-2100 | 2012-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598282527 | Alexa Eugena Cinque | Chiropractor | 252 Union St, Schenectady, NY 12305 | 2017-08-30 |
| 1245778778 | Owanna Akbur | Radiologic Technologist | 752 Bolivar Ave., Torre G-32, Apt. A-2, La Esperilla, SANTO DOMINGO 12305 | 2017-02-04 |
| 1154777514 | Susan Mackert | Social Worker | 530 Franklin St Fl 2, Schenectady, NY 12305 | 2016-05-04 |
| 1285873513 | Kathleen Rzant Sheppard | Occupational Therapist | 25 Lafayette St., Beginnings, Schnectady, NY 12305 | 2009-02-10 |
| 1043461759 | Jane Stephanie Gray | Massage Therapist | 670 Franklin St., Schenectady, NY 12305 | 2008-10-01 |
| 1336283316 | Vision Care Associates | Optometrist | 600 Franklin Street, Suite 101, Schenectady, NY 12305 | 2007-02-16 |
| 1841360740 | Visiting Nurse Service Association of Schenectady County | Home Health | 108 Erie Blvd, Schenectady, NY 12305 | 2006-11-08 |
| 1275631814 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 415 State St Wallace Bldg, Schenectady, NY 12305 | 2006-09-20 |
| 1710953369 | Schenectady Ophthalmology Assoc PC | Ophthalmology | 650 Franklin St, Schenectady, NY 12305 | 2006-02-24 |
| 1861478786 | Kimberly A Hostig | Social Worker | 426 Franklin St, Schenectady, NY 12305 | 2005-12-22 |
| Find all providers in zip 12305 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.