Organization
CORONA CHIROPRACTIC HEALTH SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO DUQUE D.C. (PRESIDENT)
(917) 704-1978
Entity
Organization
Contact information
Practice address
10005 ROOSEVELT AVE, SUITE 202, CORONA, NY 11368-4880
(718) 803-6430
(718) 803-6440
Mailing address
10005 ROOSEVELT AVE, SUITE 202, CORONA, NY 11368-4880
(718) 803-6430
(718) 803-6440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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