Individual
DR. MARSHALL ALBERT LICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-2205
(585) 271-1876
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-2205
(585) 271-1876
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
086512-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00435772
—
NY
Enumeration date
10/15/2008
Last updated
10/15/2008
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