# NOVELLI WELLNESS CHIROPRACTIC PHYSICAL THERAPY AND NURSE PRACTITIONER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386492262
- **Authorized official:** DR. STEPHEN NOVELLI DC (MANAGING MEMBER, CEO)
- **Authorized official phone:** (716) 573-6666

## Contact information

- **Practice address:** 3050 ORCHARD PARK RD, WEST SENECA, NY 14224-4658
- **Practice address phone:** (716) 573-6666
- **Mailing address:** PO BOX 1360, ORCHARD PARK, NY 14127-8360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/07/2024
- **Last updated:** 05/07/2024