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Individual

TINA CHEN YAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,RDN, CDN

Contact information

Practice address
1454 78TH ST, BROOKLYN, NY 11228-2520
(646) 552-9784
Mailing address
1454 78TH ST, BROOKLYN, NY 11228-2520
(646) 552-9784

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
008507
NY
133V00000X
Registered Dietitian
863887
NY

Other

Enumeration date
12/04/2015
Last updated
03/04/2016
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