National Provider Identifier
Nicole Wallace, DC, AVCA
Nicole Wallace, DC, AVCA is listed in the NPPES registry with a primary specialty of Chiropractor in Buffalo, NY and a listed phone number of (716) 472-2370.
Profile Overview
- NPI
- 1669326773
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- February 25, 2026
- Last Updated
- February 25, 2026
Practice Location
- 2929 Main St Ste 2
- Buffalo, NY 14214-1877
Phone: (716) 472-2370
Mailing Address
- 4649 Seneca St
- West Seneca, NY 14224-4925
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1669326773
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Nicole
- Credential
- DC, AVCA
- Mailing Street Address
- 4649 Seneca St
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-4925
- Mailing Country
- US
- Practice Street Address
- 2929 Main St Ste 2
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1877
- Practice Country
- US
- Practice Phone
- (716) 472-2370
- Enumeration Date
- February 25, 2026
- Last Updated
- February 25, 2026
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- February 25, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)