| Eat Live Nutrition, Pllc | |
|
1026 Union Rd, West Seneca, NY 14224-3445 | |
| (716) 217-1004 | |
| Not Available |
| Full Name | Eat Live Nutrition, Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1026 Union Rd, West Seneca, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265989776 | NPI | - | NPPES |
| 1811252604 | Other | NPI | |
| J400201451 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 007596-1 (New York) | Primary |
| Provider Name | Emily J Laurin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811252604 PECOS PAC ID: 4183860646 Enrollment ID: I20130429000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Eat Live Nutrition, Pllc 198 Oehman Blvd, Cheektowaga, NY 14225-1608 Ph: (585) 703-2739 | Eat Live Nutrition, Pllc 1026 Union Rd, West Seneca, NY 14224-3445 Ph: (716) 217-1004 |
Mrs. Kaitlyn Ferreira, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 264 Main St, West Seneca, NY 14224 Phone: 716-725-5971 | |
Kelsey Rose Schaffstall, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 52 Ashley Dr, West Seneca, NY 14224 Phone: 716-480-5009 | |
Mrs. Erin Marie Burch, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 164 Crofton Dr, West Seneca, NY 14224 Phone: 716-498-5863 | |
Cynthia Frances Atzrott, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 E And West Rd, West Seneca, NY 14224 Phone: 716-517-3501 Fax: 716-517-3776 | |
Jamie L Bond, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 E And West Rd, West Seneca, NY 14224 Phone: 716-608-2663 | |
Susan Marie Digiacco, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 E And West Rd, West Seneca, NY 14224 Phone: 716-517-3853 |