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

Organization Registered Dietitian · NPI 1831920131

Fully Functional Nutrition Wellness PLLC is a Registered Dietitian in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional 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: (917) 717-0146
Fax: (848) 674-0001
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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 number1831920131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dalia Harush — Owner · (732) 710-7915
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address1419 E 9th St, Brooklyn, NY 11230-6459

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