# ANTIOQUIA CHIROPRACTIC P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801396353
- **Authorized official:** DR. MARIO DUQUE DC (PRESIDENT)
- **Authorized official phone:** (917) 704-1978

## Contact information

- **Practice address:** 11247 QUEENS BLVD STE 208, FOREST HILLS, NY 11375-7421
- **Practice address phone:** (718) 544-4141
- **Mailing address:** 7217 34TH AVE APT 1E, JACKSON HEIGHTS, NY 11372-1023
- **Mailing address phone:** (917) 704-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X-009105 | NY | Yes |

## Other

- **Enumeration date:** 02/20/2018
- **Last updated:** 02/20/2018