Individual
CHEYENNE JO THANNIKKOTU-LOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
300795
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2016
Last updated
07/03/2023
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