Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Street Health Services Family Health and Psychiatry Nps PLLC

Organization Nurse Practitioner · NPI 1104442458

South Street Health Services Family Health and Psychiatry Nps PLLC is a Nurse Practitioner in Lockport, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8-12 S St
Lockport, NY 14094-1409
Phone: (716) 797-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1104442458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Julien — Owner · (716) 727-0099
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020
Mailing address17 Kingston Cir, Lockport, NY 14094-5606

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