Organization
FUNCTIONAL NUTRITION OF WESTERN NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANN MILLER MS, RDN, CDN (OWNER/REGISTERED DIETITIAN)
(716) 531-5207
Entity
Organization
Contact information
Practice address
352 BRENTWOOD DR, YOUNGSTOWN, NY 14174-1404
(716) 531-5207
Mailing address
352 BRENTWOOD DR, YOUNGSTOWN, NY 14174-1404
(716) 531-5207
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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