Queens Boulevard Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

QUEENS BOULEVARD CHIROPRACTIC P.C.

Practice address

51-27 Queens Blvd
2ND FL 2C
Woodside, NY 11377

Phone

(929) 463-3049

Fax

(929) 463-3421

NPI assigned

Dec 13, 2019

Last updated

Dec 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mario Duque, DC

Title

President

Phone

(917) 704-1978

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1134767833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 34TH AVE APT 1E",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721023",
            "telephone_number": "917-704-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-27 QUEENS BLVD",
            "address_2": "2ND FL 2C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "929-463-3049",
            "fax_number": "929-463-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS BOULEVARD CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-704-1978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniha Purisic
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• Queens County Podiatry PC

• Chiropractor in Woodside, NY
• Providers in Woodside, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.