Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fully Functional Nutrition LLC

Organization Registered Dietitian · NPI 1184329088

Fully Functional Nutrition LLC is a Registered Dietitian in Brooklyn, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1419 E 9th St
Brooklyn, NY 11230-6459
Phone: (732) 710-7915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1184329088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dalia Harush — Ceo · (732) 710-7915
NPI enumeratedApril 3, 2023
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address1419 E 9th St, Brooklyn, NY 11230-6459

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