Provider Demographics
NPI:1992364574
Name:ALI-SAYEED, SOGHRA NAHEED (RD, CDN)
Entity Type:Individual
Prefix:
First Name:SOGHRA
Middle Name:NAHEED
Last Name:ALI-SAYEED
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9625 MARTIN RD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14032-9792
Mailing Address - Country:US
Mailing Address - Phone:716-908-1556
Mailing Address - Fax:
Practice Address - Street 1:9625 MARTIN RD
Practice Address - Street 2:
Practice Address - City:CLARENCE CENTER
Practice Address - State:NY
Practice Address - Zip Code:14032-9792
Practice Address - Country:US
Practice Address - Phone:716-908-1556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005552133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty