MEDICARE: SOPHIE ALEXANDRA ALFIERI RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1285387282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIE ALEXANDRA ALFIERI RD

Provider Business Mailing Address
First Line	:	39 LINCOLN PL FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3512
Country	:	US
Telephone Number	:	917-232-7272
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 LINCOLN PL FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3512
Country	:	US
Telephone Number	:	917-232-5947
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	12/17/2025

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