Individual
LISHAM ASHRAFIOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-1159
(585) 273-5701
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 273-5701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022172
NY
103T00000X
Psychologist
—
—
363AM0700X
Medical Physician Assistant
22172
NY
Other
Enumeration date
06/14/2017
Last updated
07/07/2023
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