Individual
MR. NICHOLAS EDWARD EVERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(415) 259-1353
Mailing address
348 JEFFERSON AVE APT 14, CANANDAIGUA, NY 14424-2625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5806
OR
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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