MEDICARE: JACKSON HEIGHTS TOTAL CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1093586182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSON HEIGHTS TOTAL CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	8211 37TH AVE STE 602
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7015
Country	:	US
Telephone Number	:	718-440-9711
Fax Number	:

Provider Business Practice Location Address
First Line	:	8211 37TH AVE STE 602
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7015
Country	:	US
Telephone Number	:	718-440-9711
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS DIANA VASQUEZ
Credential	:
Telephone Number	:	917-304-3316

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/09/2024

Similar Medicare Providers

1538399472 — MARIO DUQUE DC
Practice Location Address:

8211 37TH AVE STE 602
JACKSON HEIGHTS, NY
11372-7015

Practice Phone: 718-255-5189
Practice Fax: 718-255-5189

1063456804 — GLORIA B ZAPATA PT
Practice Location Address:

8211 37TH AVE STE 602
JACKSON HEIGHTS, NY
11372-7015

Practice Phone: 718-932-1818
Practice Fax: 718-932-3222

1053500827 — BODY REPAIR PHYSICAL THERAPY PC
Practice Location Address:

82-11 37TH AVE
JACKSON HEIGHTS, NY
11372-7015

Practice Phone: 718-932-1818
Practice Fax: 718-932-3222

1003681636 — AMERICAN PLANET PHYSICAL THERAPY PC
Practice Location Address:

8211 37TH AVE STE 602
JACKSON HEIGHTS, NY
11372-7015

Practice Phone: 718-440-9711
Practice Fax:

1417229964 — JASPER EVANS OMOLO
Practice Location Address:

7015 BASCOMBE DR
HUBER HEIGHTS, OH
45424-2905

Practice Phone: 937-344-4451
Practice Fax:

1336375294 — WOLFE COUNTY CLINICS
Practice Location Address:

1389 HIGHWAY 15 N
JACKSON, KY
41339-7015

Practice Phone: 606-668-3925
Practice Fax:

Directions to “JACKSON HEIGHTS TOTAL CHIROPRACTIC PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.