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General NPI Number Information
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NPI Number | 1326541921
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Entity Type | Individual
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Provider Name | DANIELLE RIILI-MAZNIKER OD
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Gender | Female
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Dates
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Enumeration Date | 03/10/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 3161 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-2793
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Country | US
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Telephone | 718-984-9168
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Fax | 718-799-7010
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Provider Business Mailing Address
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Address Line | 348 CLARKE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-6138
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Country | US
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Telephone | 646-420-2923
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 008825
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License Number State | NY
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