Provider Demographics
NPI:1366733511
Name:SINCLAIR, SAUDIA (LMSW)
Entity type:Individual
Prefix:MS
First Name:SAUDIA
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MR
Other - First Name:SAUDIA
Other - Middle Name:
Other - Last Name:MALIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:960 AVENUE SAINT JOHN
Mailing Address - Street 2:APT. #3B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3426
Mailing Address - Country:US
Mailing Address - Phone:718-506-7727
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077642104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker