Lichtman, Marshall Albert

Lichtman, Marshall Albert is an individual health care provider with primary practice located at 601 Elmwood Ave Box Med , Rochester NY 14642-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Lichtman, Marshall Albert can be contacted via phone (585) 275-2205.

Contact Information

Primary practice address
601 Elmwood Ave Box Med Rochester NY 14642-0001
Phone: (585) 275-2205
Fax: (585) 271-1876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 086512-1 New York

Profile Details

NPI number 1982856415
LBN Legal business name Lichtman, Marshall Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Oct 15th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982856415 NPPES
New York MEDICAID 00435772

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