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General NPI Number Information
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NPI Number | 1538418991
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Entity Type | Individual
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Provider Name | DOMINIQUE SEID
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 112 RICHMOND HILL RD LENSCRAFTERS AT MACY'S
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5903
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Country | US
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Telephone | 718-698-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 85TH ST APT 2G
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-5516
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Country | US
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Telephone |
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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 | 56007842
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License Number State | NY
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