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Organization
SYRACUSE FAMILY CHIROPRACTIC LLC
Active
Organization
SYRACUSE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GEORGE NICKLESS DC (OWNER/PROVIDER)
(315) 761-6311
Entity
Organization
Contact information
Practice address
4000 MEDICAL CENTER DRIVE, SUITE 301, FAYETTEVILLE, NY 13066
(315) 761-6311
Mailing address
7810 BULL ST, BRIDGEPORT, NY 13030-8418
(315) 761-6311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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