Healthcare Provider Details

I. General information

NPI: 1598933897
Provider Name (Legal Business Name): HEALTH SYSTEM SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MAPLEWOOD AVE
COLONIE NY
12205-5402
US

IV. Provider business mailing address

6867 WILLIAMS RD
NIAGARA FALLS NY
14304-3041
US

V. Phone/Fax

Practice location:
  • Phone: 518-438-3016
  • Fax: 518-438-9356
Mailing address:
  • Phone: 716-283-2339
  • Fax: 716-283-1291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT A MINICUCCI I
Title or Position: PRESIDENT
Credential:
Phone: 716-283-2339