Provider Demographics
NPI:1952303174
Name:MICHAEL LOVE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MICHAEL LOVE ASSOCIATES, INC.
Other - Org Name:AMPUTEE TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-343-4154
Mailing Address - Street 1:8388 LEWISTON RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1243
Mailing Address - Country:US
Mailing Address - Phone:585-343-4154
Mailing Address - Fax:585-343-8101
Practice Address - Street 1:8388 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1243
Practice Address - Country:US
Practice Address - Phone:585-343-4154
Practice Address - Fax:585-343-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOT NECESSARY335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00697663Medicaid
NY00697663Medicaid