Healthcare Provider Details

I. General information

NPI: 1285387282
Provider Name (Legal Business Name): SOPHIE ALEXANDRA ALFIERI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 LINCOLN PL FL 2
BROOKLYN NY
11217-3512
US

IV. Provider business mailing address

39 LINCOLN PL FL 2
BROOKLYN NY
11217-3512
US

V. Phone/Fax

Practice location:
  • Phone: 917-232-5947
  • Fax:
Mailing address:
  • Phone: 917-232-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: