Individual provider · Type 1 NPI
Nicole Wallace, DC, AVCA
Chiropractor · Buffalo, NY
NPI number
1669326773
Active
Practice location
2929 Main St Ste 2
Buffalo, NY 14214-1877
Mailing address
4649 Seneca St
West Seneca, NY 14224-4925
Other practice locations
- 8 Greenleaf Woods Dr Unit 203, Portsmouth, NH 03801-5454 · (603) 431-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1611 (NH) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1669326773
Nicole Wallace, DC, AVCA's National Provider Identifier is 1669326773, issued on Feb 25, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Buffalo, NY. The record was last updated on Feb 25, 2026.