Provider Demographics
NPI:1225208093
Name:MORRIS, NICHOLAS JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOSEPH
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Country:US
Practice Address - Phone:716-649-8200
Practice Address - Fax:716-541-3459
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3836111N00000X
SC3326111N00000X
AK449111N00000X
NY011205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor