Functional Nutrition of Western New York, Pllc
NPI #1811488240 in Youngstown, New York
Provider Information
- NPI Number
- 1811488240
- Entity Type
- Organization
- Organization Name
- Functional Nutrition of Western New York, Pllc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 22, 2018
- Last Updated
- May 22, 2018
Practice Location
- Address
- 352 BRENTWOOD DR
- City
- Youngstown
- State
- New York
- ZIP Code
- 14174-1404
- Phone
- (716) 531-5207
Authorized Official
- Name
- MS. ELIZABETH ANN MILLER, MS, RDN, CDN
- Title
- OWNER/REGISTERED DIETITIAN
- Phone
- (716) 531-5207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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