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FULLY FUNCTIONAL NUTRITION WELLNESS PLLC

Company Details

Name: FULLY FUNCTIONAL NUTRITION WELLNESS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jul 2024 (a year ago)
Entity Number: 7380808
ZIP code: 11230
County: Kings
Place of Formation: New York
Address: 1419 east 9th street, BROOKLYN, NY, United States, 11230

DOS Process Agent

Name Role Address
the llc DOS Process Agent 1419 east 9th street, BROOKLYN, NY, United States, 11230

National Provider Identifier

NPI Number:
1831920131
Certification Date:
2024-08-09

Authorized Person:

Name:
DALIA HARUSH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
Yes

Contacts:

Fax:
8486740001

Filings

Filing Number Date Filed Type Effective Date
240724001747 2024-07-23 ARTICLES OF ORGANIZATION 2024-07-23

Date of last update: 19 Mar 2025

Sources: New York Secretary of State