Provider Demographics
NPI:1750325320
Name:LOVE, ROBERT F (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:LOVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 IRONGATE CENTER
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3471
Mailing Address - Country:US
Mailing Address - Phone:518-793-4409
Mailing Address - Fax:518-793-5886
Practice Address - Street 1:3 IRONGATE CENTER
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3471
Practice Address - Country:US
Practice Address - Phone:518-793-4409
Practice Address - Fax:518-793-5886
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY070111000078OtherFIDELIS
NY11643649OtherCAQH
NYP00361370OtherRAILROAD MEDICARE NUMBER
NY396878OtherMVP
NY000412473001OtherBLUE SHIELD NENY
NY10117688OtherCDPHP
NY02804231Medicaid
NYCD1981OtherRAIDROAD MEDICARE GROUP #
NYCD1981OtherRAIDROAD MEDICARE GROUP #
NY10117688OtherCDPHP
NYBL9618894OtherDEA