Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | X012572 | NY |
Y | 111N00000X | Chiropractor | X012572-1 | NY |
NPI | 1003219189 |
---|---|
Provider Name | Dr. Nicholas Alan Fuhrmann |
First Address | West Seneca, NY 14224-3144 |
Second Address | West Seneca, NY 14224-3144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2014 |
Last Update Date | 07/05/2020 |