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

Eat Well Live Well Inc

Organization Registered Dietitian · NPI 1376865360

Eat Well Live Well Inc provides Registered Dietitian services in Patchogue, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 E Main St
Patchogue, NY 11772-3159 Not confirmed with CMS for 16 years — call before visiting
Phone: (631) 689-6528
Fax: (631) 689-3074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 000673 (NY)

Record details

NPI number1376865360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Girija Ayyala — Owner · (631) 689-6528
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010
Mailing address22 Hillside Rd, Stony Brook, NY 11790-1019

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