CONIFER PARK, INC.
NPI 1730379504
Clinic/Center - Rehabilitation, Substance Use Disorder in Burnt Hills, NY

Active since July 27, 2007
323 LAKE HILL ROAD, HAWLEY COTTAGE, 1ST FLOOR, BURNT HILLS, NY 12027(518) 399-8182(518) 372-7064 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Conifer Park, Inc. NPPES

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

CONIFER PARK, INC. (NPI 1730379504) is a healthcare organization registered as a rehabilitation, substance use disorder in Burnt Hills, New York and active in the NPI registry since July 2007. The organization lists Barbara A Petteys, Director Op Billing, as its authorized official.

NPPES Registry Identity

NPI1730379504
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONIFER PARK, INC.
Location Address323 LAKE HILL ROAD, HAWLEY COTTAGE, 1ST FLOORBurnt Hills, NY 12027-9772
Mailing AddressPo Box 10092Albany, NY 12201-5092 · (518) 985-8408 · Fax (518) 399-6860
Fax(518) 372-7064
Organization SubpartNo
Authorized OfficialBarbara A PetteysDirector Op Billing · (518) 952-8140
Enumeration DateJuly 27, 2007
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1730379504 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
License Licensed in NY · 081110730
323 LAKE HILL ROAD, Burnt Hills, NY 12027

Other Identifiers 1

Medicaid01420800NY

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 1730379504. It was assigned to this organization in the NPPES registry on July 27, 2007.

Where is Conifer Park, Inc. located?

Conifer Park, Inc. is located at 323 Lake Hill Road Hawley Cottage, 1st Floor, Burnt Hills, NY 12027. The listed phone number is (518) 399-8182.

What is Conifer Park, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Conifer Park, Inc. was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.