Phoenix Equestrian Warriors-Rescue-Rehab & Restore Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX EQUESTRIAN WARRIORS-RESCUE-REHAB & RESTORE INC.

Practice address

8855 Center Pointe Dr
Baldwinsville, NY 13027-1421

Phone

(315) 766-6729

Fax

(315) 303-5892

NPI assigned

Nov 30, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dawn Michele Conley-Morelli, RN

Title

Ceo/Director

Phone

(315) 766-6729

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1891209789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 CENTER POINTE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271421",
            "telephone_number": "315-766-6729",
            "fax_number": "315-303-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 CENTER POINTE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271421",
            "telephone_number": "315-766-6729",
            "fax_number": "315-303-5892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Hilltop Drive",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "13135",
            "country_code": "US",
            "telephone_number": "315-766-6729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "681 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131529411",
            "country_code": "US",
            "telephone_number": "315-766-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX EQUESTRIAN WARRIORS-RESCUE-REHAB & RESTORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CONLEY-MORELLI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "315-766-6729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Persin, RN
• Christina Marie Peters, MS-CCC/SLP
• Anthony L Petote, RD
• Mark Joseph Petrie, MA LMFT
• Janet Eileen Petrou
• Phoenix Rising Counseling & Recovery Services
• Phoenix Rising Counseling & Recovery Services
• Linda Beth Pientka, LPN
• Pinnacle DMX Imaging, LLC
• Podiatry Services of Central New York, PC

• Community/Behavioral Health Agency in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.