OrganizationActive
Conifer Park, Inc.
NPI 1336339969 · Substance Use Disorder Rehabilitation Clinic/Center · Glenville, NY
Provider details
- NPI number
- 1336339969
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tammy Smith, Op Business Manager(518) 952-8408
- License
- 081110730 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
79 Glenridge Rd
Cottage #1
Glenville, NY 12302-4523
Phone: (518) 952-8121
Fax: (518) 952-8287
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10092
Albany, NY 12201-5092
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2021-12-23
- Certified
- 2021-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.