Provider Demographics
NPI:1821190091
Name:HIRSCHFELT, NICHOLAS DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:DONALD
Last Name:HIRSCHFELT
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 1:770 NIAGARA FALLS BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1827
Mailing Address - Country:US
Mailing Address - Phone:716-462-4693
Mailing Address - Fax:
Practice Address - Street 1:770 NIAGARA FALLS BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1827
Practice Address - Country:US
Practice Address - Phone:716-462-4693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011288111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX011288OtherNEW YORK STATE LICENSE #