Pegoli, Walter

Pegoli, Walter is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg, Rochester NY 14642-8410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Pegoli, Walter can be contacted via phone (585) 275-4435.

Contact Information

Primary practice address
601 Elmwood Ave Box Surg Rochester NY 14642-8410
Phone: (585) 275-4435
Fax: (585) 273-1252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 207965 New York

Profile Details

NPI number 1114954252
LBN Legal business name Pegoli, Walter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jun 30th, 2023 - about 2 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 1114954252 NPPES
New York MEDICAID 01741551

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