Individual
NICOLE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, AVCA
Contact information
Practice address
2929 MAIN ST STE 2, BUFFALO, NY 14214-1877
(716) 472-2370
Mailing address
4649 SENECA ST, WEST SENECA, NY 14224-4925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1611
NH
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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