Corona Chiropractic Health Services P.c.

NPI #1457732901 in Corona, New York

Provider Information

NPI Number: 1457732901
Entity Type: Organization
Organization Name: Corona Chiropractic Health Services P.c.
Primary Specialty: Chiropractor
Enumeration Date: Jun 10, 2015
Last Updated: Jun 10, 2015

Practice Location

Address: 10005 ROOSEVELT AVE
Address 2: SUITE 202
City: Corona
State: New York
ZIP Code: 11368-4880
Phone: (718) 803-6430

Authorized Official

Name: DR. MARIO DUQUE, D.C.
Title: PRESIDENT
Phone: (917) 704-1978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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