Conifer Park, Inc. in Albany - Rehabilitation, Substance Use Disorder

Conifer Park, Inc. - NPI 1730379504

Conifer Park, Inc. is a Rehabilitation, Substance Use Disorder in Albany, New York. Conifer Park, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Conifer Park, Inc. is 1730379504. The last update date is 2021-04-29.

Conifer Park, Inc.'s current location address is Po Box 10092, Albany, New York. You can contact this provider via phone number 5189858408 and fax number 5183996860. The mailing address for Conifer Park, Inc. is Po Box 10092, Albany, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Conifer Park, Inc.
Address Po Box 10092, Albany, New York
Phone Number 5189858408
Fax Number 5183996860
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Petteys A Barbara
Telephone Number 5189528140

NPI Number Detail

NPI Number 1730379504
Provider Enumeration Date 2007-07-27
Last Updated Date 2021-04-29

Provider Mailing Address Detail

Address Po Box 10092
City Albany
State New York (NY)
Post Code 122015092
Phone Number 5189858408
Fax Number 5183996860

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Licence No 81110730
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1420800 NY --

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FAQs about Conifer Park, Inc.

What is the unique identifier code issued to Conifer Park, Inc. by the Centers for Medicare & Medicaid Services?

The Conifer Park, Inc. has been assigned the NPI (National Provider Identifier) 1730379504. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Conifer Park, Inc. is physically located?

The Conifer Park, Inc. is situated at the following address: Po Box 10092, Albany, NY 122015092.

What is Conifer Park, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Conifer Park, Inc. is Rehabilitation, Substance Use Disorder, and the taxonomy code that classifies this field of practice is 261Qr0405X.

On what date did Conifer Park, Inc. receive its 1730379504 assignment from the Centers for Medicare & Medicaid Services?

The Conifer Park, Inc. was assigned its 1730379504 on 2007-07-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Conifer Park, Inc.'s information last updated?

The Conifer Park, Inc.'s information was last updated on 2021-04-29.

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