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1518634948
DANIELLE POLVANOV
FOREST HILLS, NY
NPI
1518634948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV009442)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
DR. DANIELLE POLVANOV OD
7051 AUSTIN ST
FOREST HILLS, NY 11375-4729
Phone number: 718-793-1200
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Mailing Address
DR. DANIELLE POLVANOV OD
6837 YELLOWSTONE BLVD APT D42
FOREST HILLS, NY 11375-3413
Phone number: 718-541-0852
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