Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Wallace, DC, AVCA

Individual provider Chiropractor · NPI 1669326773

Nicole Wallace, DC, AVCA is a Chiropractic in Buffalo, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in New Hampshire.

Years since qualifying
1
Licensed in
NH
In the registry since
2026
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2929 Main St Ste 2
Buffalo, NY 14214-1877
Phone: (716) 472-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8 Greenleaf Woods Dr Unit 203, Portsmouth, NH 03801-5454 — (603) 431-4200

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1611 (NH)

Record details

NPI number1669326773
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC , AVCA
Sole proprietorYes
NPI enumeratedFebruary 25, 2026
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address4649 Seneca St, West Seneca, NY 14224-4925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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