Organization
JACKSON HEIGHTS TOTAL CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO DUQUE (OWNER)
(917) 704-1978
Entity
Organization
Contact information
Practice address
8211 37TH AVE STE 602, JACKSON HEIGHTS, NY 11372-7015
(718) 440-9711
Mailing address
4112 77TH ST STE 3, ELMHURST, NY 11373-1996
(718) 440-9711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
05/06/2026
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