Healthcare Provider Details

I. General information

NPI: 1952303174
Provider Name (Legal Business Name): MICHAEL LOVE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8388 LEWISTON RD
BATAVIA NY
14020-1243
US

IV. Provider business mailing address

8388 LEWISTON RD
BATAVIA NY
14020-1243
US

V. Phone/Fax

Practice location:
  • Phone: 585-343-4154
  • Fax: 585-343-8101
Mailing address:
  • Phone: 585-343-4154
  • Fax: 585-343-8101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberNOT NECESSARY
License Number StateNY

VIII. Authorized Official

Name: MRS. LEE ANN PATTERSON
Title or Position: CORPORATE VICE-PRESIDENT
Credential:
Phone: 585-343-4154