Healthcare Provider Details

I. General information

NPI: 1366440968
Provider Name (Legal Business Name): HEALTH SYSTEM SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6867 WILLIAMS ROAD
NIAGARA FALLS NY
14304
US

IV. Provider business mailing address

6867 WILLIAMS ROAD
NIAGARA FALLS NY
14304
US

V. Phone/Fax

Practice location:
  • Phone: 716-283-2339
  • Fax: 716-283-1291
Mailing address:
  • Phone: 716-283-2339
  • Fax: 716-283-1291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

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