Conifer Park, Inc. in Albany - Rehabilitation, Substance Use Disorder
Conifer Park, Inc. - NPI 1972558179
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 1972558179. 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 5189528408 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 | 5189528408 |
| Fax Number | 5183996860 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR, OP BI |
|---|---|
| Authorized Official Name | Smith Tammy |
| Telephone Number | 5189528408 |
NPI Number Detail
| NPI Number | 1972558179 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| 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 | 5189528408 |
| Fax Number | 5183996860 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1420800 | NY | -- |
Post Comment/ Review Below
What is the Conifer Park, Inc.'s 1972558179?
The Conifer Park, Inc.'s NPI (National Provider Identifier) Number is 1972558179. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Conifer Park, Inc.?
The Conifer Park, Inc. is physically situated at Po Box 10092, in the city of Albany, state of NY, with the postal code 122015092.
What is the Conifer Park, Inc.'s specialty and taxonomy code?
The Conifer Park, Inc.'s specialty is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972558179 to Conifer Park, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1972558179 to Conifer Park, Inc. on 2006-05-24.
As of what date were the details related to Conifer Park, Inc. most recently updated or revised?
The information pertaining to Conifer Park, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2021-04-29.