CONIFER PARK, INC. (NPI# 1730379504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730379504 |
| Entity Type | Organization |
| Organization Name | CONIFER PARK, INC. |
| Practice Address |
323 Lake Hill Road Hawley Cottage, 1st Floor Burnt Hills NY 12027-9772 |
| Mailing Address |
Po Box 417153 Boston MA 02241-7153 |
| Practice Telephone | 5183998182 |
| Practice Fax Number | 5183727064 |
| Mailing Telephone | 5189528140 |
| Mailing Fax Number | 5189528287 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | BARBARA A PETTEYS (DIRECTOR OP BILLING) |
| Authorized Official Telephone | 5189528140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
081110730 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1649225897 | Conifer Park, Inc. | Clinic/Center | 600 Franklin St, Schenectady, NY 12305-2100 | 2006-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CONIFER PARK, INC. | 79 Glenridge Road, Glenridge, Ny 12302 |
| Street Address |
323 LAKE HILL ROAD HAWLEY COTTAGE, 1ST FLOOR |
| City | BURNT HILLS |
| State | NY |
| Zip Code | 12027-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891005120 | Stephanie Triolo Holley | Occupational Therapist | 18 Townley Drive, Burnt Hills, NY 12027 | 2010-10-20 |
| 1861515652 | Richard Brian Lamanna | Dentist | 818 Saratoga Road, Burnt Hills, NY 12027 | 2007-04-09 |
| 1871691584 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 120 Lake Hill Rd, Burnt Hills, NY 12027 | 2006-09-20 |
| 1659477172 | Laurie Anne Delucia Fearman | Dentist | 105 Lake Hill Road., Burnt Hills, NY 12027 | 2006-09-15 |
| 1952305203 | Arthur H Ostrov | Internal Medicine | 848 Route 50, Burnt Hills, NY 12027 | 2005-06-02 |
| 1447784343 | Nicole Marie Morroni | Nurse Practitioner | 848 Route 50, Burnt Hills, NY 12027 | 2017-04-18 |
| 1801265947 | Kathleen R Cornell | Nurse Practitioner | 848 Route 50, Burnt Hills, NY 12027 | 2015-09-18 |
| 1811279375 | Joseph P Denning | Dentist | 163 Lake Hill Rd, Burnt Hills, NY 12027 | 2011-09-12 |
| 1104141209 | Zachary A Feinberg | Internal Medicine | 848 Route 50, Burnt Hills, NY 12027 | 2010-03-31 |
| 1396989869 | Chad M. Cornish | Internal Medicine | 848 Route 50, Burnt Hills, NY 12027 | 2009-04-28 |
| Find all providers in zip 12027 | ||||
| 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 | BURNT HILLS |
| Zip Code | 12027 |
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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.