Provider Demographics
NPI:1790057800
Name:NYROP, JESSICA ERIN (DC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ERIN
Last Name:NYROP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5449 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3503
Mailing Address - Country:US
Mailing Address - Phone:716-646-4000
Mailing Address - Fax:716-646-0694
Practice Address - Street 1:5449 SOUTHWESTERN BLVD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3503
Practice Address - Country:US
Practice Address - Phone:716-646-4000
Practice Address - Fax:716-646-0694
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-04
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012142111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition