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Individual

MRS. CHERYL A LUSTIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE # 619-13, ROCHESTER, NY 14642-0001
(585) 374-2114
Mailing address
450 CLOVER HILLS DR, ROCHESTER, NY 14618-4714

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303787
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F 303787 - 1
NY

Other

Enumeration date
08/29/2006
Last updated
07/05/2023
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