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 is a Registered Dietitian 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
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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