Individual
IAN TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RD
Contact information
Practice address
13 ELDRIDGE ST APT 2, NEW YORK, NY 10002-6236
(205) 908-4481
(205) 908-4481
Mailing address
13 ELDRIDGE ST APT 2, NEW YORK, NY 10002-6236
(205) 908-4481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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