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General NPI Number Information
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NPI Number | 1356147078
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Entity Type | Organization
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Legal Business Name | INSIGHT OPTOMETRY P.C
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 07/25/2025
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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 | 917-454-8843
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DR. DANIELLE RIILI-MAZNIKER
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Credential | OD
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Telephone | 646-420-2923
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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 |
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License Number State |
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