| NPI | 1801396353 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARIO DUQUE President 917-704-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x-009105) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |