# JACKSON HEIGHTS TOTAL CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093586182
- **Authorized official:** MR. MARIO DUQUE (OWNER)
- **Authorized official phone:** (917) 704-1978

## Contact information

- **Practice address:** 8211 37TH AVE STE 602, JACKSON HEIGHTS, NY 11372-7015
- **Practice address phone:** (718) 440-9711
- **Mailing address:** 4112 77TH ST STE 3, ELMHURST, NY 11373-1996
- **Mailing address phone:** (718) 440-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2024
- **Last updated:** 05/06/2026