Soghra Naheed Ali-Sayeed, RD, CDN

Individual provider Active NPI Registered Dietitian · Clarence Center, NY

NPI 1992364574 · NPPES record last updated Jun 7, 2019

Key facts

NPI
1992364574
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
005552 (NY)
Practice address
9625 Martin Rd
Clarence Center, NY 14032-9792
Phone
(716) 908-1556
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
005552NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X 005552 NY Yes

Addresses

Primary practice location

9625 Martin Rd
Clarence Center, NY 14032-9792

Mailing address

9625 Martin Rd
Clarence Center, NY 14032-9792
Phone (716) 908-1556

Other providers in Clarence Center, NY

All providers in Clarence Center, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.