Provider Demographics
NPI:1285925842
Name:FAIZULLABHOY, ALEFIYA (MBA, MS,RD, CDE,CDN)
Entity type:Individual
Prefix:
First Name:ALEFIYA
Middle Name:
Last Name:FAIZULLABHOY
Suffix:
Gender:F
Credentials:MBA, MS,RD, CDE,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MARCUS AVE STE M10C
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2036
Mailing Address - Country:US
Mailing Address - Phone:718-721-6100
Mailing Address - Fax:
Practice Address - Street 1:1111 MARCUS AVE STE M10C
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2036
Practice Address - Country:US
Practice Address - Phone:718-721-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006622-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered