MEDICARE: MARIO DUQUE DC

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	X009105-I	NY

General Provider Information

NPI Number	:	1538399472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO DUQUE DC

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	:	718-255-5189
Fax Number	:	718-255-5189

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	:	718-255-5189
Fax Number	:	718-255-5189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	01/15/2026

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Directions to “ MARIO DUQUE DC” Practice Location

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