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CONIFER PARK, INC
NPI 1538180351
Substance Abuse Rehabilitation Facility in Glenville, NY

Active since July 21, 2006
79 GLENRIDGE RD, GLENVILLE, NY 12302(518) 952-8142 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 2, 2023, Apr 29, 2021 (2 updates tracked since 2021).

About Conifer Park, Inc NPPES

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

CONIFER PARK, INC (NPI 1538180351) is a healthcare organization registered as a substance abuse rehabilitation facility in Glenville, New York and active in the NPI registry since July 2006. The organization lists Andrea M Betts, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1538180351
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCONIFER PARK, INC
Location Address79 GLENRIDGE RDGlenville, NY 12302-4523
Mailing AddressPo Box 10092Albany, NY 12201-5092 · (518) 952-8408
Phone(518) 952-8142
Organization SubpartNo
Authorized OfficialAndrea M BettsBusiness Office Manager · (518) 952-8142
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1538180351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · 00000
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
79 GLENRIDGE RD, Glenville, NY 12302
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Other Identifiers 1

Medicaid01420800NY

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER J RIZZO M.D.
Internal Medicine (Addiction Medicine)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Schenectady County (518) 952-8142
KRISTEN RIZZUTO LMSW
Counselor (Addiction (Substance Use Disorder))
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Schenectady County (518) 952-8140
THOMAS C DOWLING
Nurse Practitioner (Psychiatric/Mental Health)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Schenectady County (518) 952-8142
LATCHMI CIPRIANA RN
Registered Nurse
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Schenectady County (518) 952-8121
CARLY GALLAGHER LMSW
Social Worker
79 GLENRIDGE RD
GLENVILLE, NY 12302
Schenectady County (518) 399-6446
CONIFER PARK, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Schenectady County (518) 952-8121
MR. ROBERTO C DIMAMBRO CASAC
Counselor (Addiction (Substance Use Disorder))
79 GLENRIDGE RD
GLENVILLE, NY 12302
Schenectady County (518) 952-8408
DANESH IRANI
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Schenectady County (518) 952-8142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conifer Park, Inc's NPI number?

The NPI number for Conifer Park, Inc is 1538180351. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Conifer Park, Inc located?

Conifer Park, Inc is located at 79 Glenridge Rd, Glenville, NY 12302. The listed phone number is (518) 952-8142.

What is Conifer Park, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Conifer Park, Inc was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.