Individual
ELIZABETH LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 POWERS RD, ORCHARD PARK, NY 14127-4841
(716) 667-0001
(716) 667-0028
Mailing address
2875 UNION RD, SUITE 8, CHEEKTOWAGA, NY 14227-1465
(716) 651-0911
(716) 651-9855
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010306305
UNIVERA
NY
01
—
000508352006
BC/BS
NY
05
—
01761820
—
NY
01
—
10174010
FIDELIS
NY
01
—
151124EL
PREFERRED CARE
NE
01
—
3000947
IHA
NY
Enumeration date
10/10/2005
Last updated
11/13/2009
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