Organization · Type 2 NPI
Functional Nutrition of Western New York, PLLC
Health Service Clinic/Center · Youngstown, NY
NPI number
1811488240
Active
Practice location
352 Brentwood Dr
Youngstown, NY 14174-1404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1811488240
Functional Nutrition of Western New York, PLLC's National Provider Identifier is 1811488240, issued on May 22, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Youngstown, NY. The record was last updated on May 22, 2018.