Provider Demographics
NPI:1043503386
Name:NEW HEALTH CHIROPRACTIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NEW HEALTH CHIROPRACTIC ASSOCIATES, PLLC
Other - Org Name:NEW HEALTH CHIROPRACTIC AND VIBRATION STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-649-8200
Mailing Address - Street 1:4250 SOUTHWESTERN BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1425
Mailing Address - Country:US
Mailing Address - Phone:716-649-8200
Mailing Address - Fax:716-541-3459
Practice Address - Street 1:4250 SOUTHWESTERN BLVD STE 3
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1425
Practice Address - Country:US
Practice Address - Phone:716-649-8200
Practice Address - Fax:716-541-3459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011164111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty