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Organization
UTR CHIROPRACTIC SERVICES PC
Active
Organization
UTR CHIROPRACTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO DUQUE DC (PRESIDENT)
(917) 704-1978
Entity
Organization
Contact information
Practice address
7716 164TH ST, FRESH MEADOWS, NY 11366-1227
(718) 504-6323
Mailing address
7217 34TH AVE APT 1E, JACKSON HEIGHTS, NY 11372-1023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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