Corona Chiropractic Health Services P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CORONA CHIROPRACTIC HEALTH SERVICES P.C.

Practice address

10005 Roosevelt Ave
Suite 202
Corona, NY 11368-4880

Phone

(718) 803-6430

Fax

(718) 803-6440

NPI assigned

Jun 10, 2015

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, D.C.

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": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1457732901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE",
            "address_2": "SUITE 202",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "718-803-6430",
            "fax_number": "718-803-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE",
            "address_2": "SUITE 202",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "718-803-6430",
            "fax_number": "718-803-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA CHIROPRACTIC HEALTH SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "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": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.