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

Functional Nutrition of Western New York, PLLC

Organization Health Service Clinic/Center · NPI 1811488240

Functional Nutrition of Western New York, PLLC is a Health Service Clinic/Center in Youngstown, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

352 Brentwood Dr
Youngstown, NY 14174-1404
Phone: (716) 531-5207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1811488240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Miller — Owner/Registered Dietitian · (716) 531-5207
NPI enumeratedMay 22, 2018
Last updated in NPPESMay 22, 2018
Mailing address352 Brentwood Dr, Youngstown, NY 14174-1404