Individual
PIEK TAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, CDC
Contact information
Practice address
4939 BRITTONFIELD PKWY, SUITE 201, EAST SYRACUSE, NY 13057-9208
(315) 463-1200
(315) 634-6789
Mailing address
4939 BRITTONFIELD PKWY, SUITE 201, EAST SYRACUSE, NY 13057-9208
(315) 463-1200
(315) 634-6789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
890336
IL
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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