CONIFER PARK, INC.
NPI 1356396543
Clinic/Center - Rehabilitation, Substance Use Disorder in Troy, NY

Active since May 24, 2006CLIA 33D2028449 · Waiver
2435 6TH AVE, TROY, NY 12180(518) 274-5143(518) 273-1350 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2021, Jan 30, 2017 (2 updates tracked since 2017).

About Conifer Park, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONIFER PARK, INC. (NPI 1356396543) is a healthcare organization registered as a rehabilitation, substance use disorder in Troy, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Tammy Smith, Director, Ob Billing Dept., as its authorized official.

NPPES Registry Identity

NPI1356396543
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONIFER PARK, INC.
Location Address2435 6TH AVETroy, NY 12180-2227
Mailing AddressPo Box 10092Albany, NY 12201-5092 · (518) 952-8408 · Fax (518) 399-6860
Fax(518) 273-1350
Organization SubpartNo
Authorized OfficialTammy SmithDirector, Ob Billing Dept. · (518) 952-8408
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1356396543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
2435 6TH AVE, Troy, NY 12180

Other Identifiers 1

Medicaid01420800NY

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2028449
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
August 17, 2011
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. GEORGE A. DISNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conifer Park, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CONIFER PARK, INC.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Addiction Psychiatry)
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Registered Nurse
2435 6TH AVE
TROY, NY 12180
Licensed Practical Nurse
2435 6TH AVE
TROY, NY 12180
Registered Nurse
2435 6TH AVE
TROY, NY 12180
Registered Nurse
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Licensed Practical Nurse
2435 6TH AVE
TROY, NY 12180
Licensed Practical Nurse
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Licensed Practical Nurse
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
2435 6TH AVE
TROY, NY 12180
Social Worker
2435 6TH AVE
TROY, NY 12180
Physician Assistant
2435 6TH AVE
TROY, NY 12180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356396543, enumerated as an "organization" on May 24, 2006.

The provider is located at 2435 6TH AVE TROY, NY 12180 and the phone number is (518) 274-5143.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.