Organization
ANTIOQUIA CHIROPRACTIC P.C
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO DUQUE DC (PRESIDENT)
(917) 704-1978
Entity
Organization
Contact information
Practice address
11247 QUEENS BLVD STE 208, FOREST HILLS, NY 11375-7421
(718) 544-4141
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
X-009105
NY
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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