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Contact Information

INNOVATIVE SERVICES INC
435 LAWRENCE BELL DR STE 1B
BUFFALO, NY14221-8442
 Phone: 716-565-2110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Home Infusion

251F00000X
 

Nursing Care

251J00000X
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for INNOVATIVE SERVICES INC

NPI # 1326121369
LBN Legal business name INNOVATIVE SERVICES INC
Authorized official ALYCE CROSSMAN - (VP, CIO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 09/16/2019 - About 7 years ago
Identifiers
NY License # 0701L005
NY Medicaid 02878215
NY Other 0701L005 DOH LICENSE #
NY Other 83Y MEDICAID ETIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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