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1740906478
VIVIAN TAN
STATEN ISLAND, NY
NPI
1740906478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 01062601)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
VIVIAN TAN RD
165 VANDERBILT AVE
STATEN ISLAND, NY 10304-2521
Phone number: 718-616-0993
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Mailing Address
VIVIAN TAN RD
1755 W 11TH ST
BROOKLYN, NY 11223-1141
Phone number: 917-588-6517
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