IndividualActive
Walter Pegoli
NPI 1114954252 · Pediatric Surgery Physician · Rochester, NY
Provider details
- NPI number
- 1114954252
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 207965 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
601 Elmwood Ave
Box Surg
Rochester, NY 14642-8410
Phone: (585) 275-4435
Fax: (585) 273-1252
Approximate (ZIP-level) locationGet directions
Mailing address
601 Elmwood Ave
Rochester, NY 14642-8410
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2023-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.