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Organization
QUEENS BOULEVARD CHIROPRACTIC P.C.
Active
Organization
QUEENS BOULEVARD CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO DUQUE DC (PRESIDENT)
(917) 704-1978
Entity
Organization
Contact information
Practice address
51-27 QUEENS BLVD, 2ND FL 2C, WOODSIDE, NY 11377
(929) 463-3049
(929) 463-3421
Mailing address
7217 34TH AVE APT 1E, JACKSON HEIGHTS, NY 11372-1023
(917) 704-1978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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