Dr. Walter Pegoli JR.
Pediatric Surgery
601 Elmwood Ave Box Surg
Rochester
, New York 14642-8410
Dr. Walter Pegoli JR.
Pediatric Surgery
601 Elmwood Ave Box Surg
Rochester
, New York 14642-8410
(585) 273-1252
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Walter Pegoli JR.
- 601 Elmwood Ave Box Surg
- Rochester, NY
- Zip : 14642-8410
- Fax : (585) 273-1252
- Phone : (585) 275-4435
Second Address
- Dr. Walter Pegoli JR.
- 601 Elmwood Ave Box Surg
- Rochester, NY
- Zip : 14642-8410
- Fax : (585) 273-1252
- Phone : (585) 275-4435
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 207965 | NY |
National Provider Identifier
| NPI | 1114954252 |
|---|---|
| Provider Name | Dr. Walter Pegoli JR. |
| First Address | Rochester, NY 14642-8410 |
| Second Address | Rochester, NY 14642-8410 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 04/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01741551 | (05) | NY |
| F04597 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.