FUNCTIONAL NUTRITION OF WESTERN NEW YORK, PLLC
NPI 1811488240
Clinic/Center - Health Service in Youngstown, NY

Q: What is Functional Nutrition Of Western New York, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since May 22, 2018

352 BRENTWOOD DR, YOUNGSTOWN, NY 14174(716) 531-5207 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Functional Nutrition Of Western New York, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL NUTRITION OF WESTERN NEW YORK, PLLC (NPI 1811488240) is a healthcare organization registered as a health service in Youngstown, New York and active in the NPI registry since May 2018. The organization lists Elizabeth Ann Miller, Owner/registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1811488240

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameFUNCTIONAL NUTRITION OF WESTERN NEW YORK, PLLC

Location Address352 BRENTWOOD DRYoungstown, NY 14174-1404

Mailing Address352 Brentwood DrYoungstown, NY 14174-1404 · (716) 531-5207

Phone(716) 531-5207

Organization SubpartNo

Authorized OfficialElizabeth Ann MillerOwner/registered Dietitian · (716) 531-5207

Enumeration DateMay 22, 2018

✔ NPI 1811488240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

352 BRENTWOOD DR, Youngstown, NY 14174

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Nutrition Of Western New York, PLLC's NPI number?

The NPI number for Functional Nutrition Of Western New York, PLLC is 1811488240. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Functional Nutrition Of Western New York, PLLC located?

Functional Nutrition Of Western New York, PLLC is located at 352 Brentwood Dr, Youngstown, NY 14174. The listed phone number is (716) 531-5207.

What is Functional Nutrition Of Western New York, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Functional Nutrition Of Western New York, PLLC was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.