Provider Demographics
NPI:1285741470
Name:PEEL, ROBERT BENZIGER (DPM)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BENZIGER
Last Name:PEEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 LOC DEVILLE BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-244-1150
Mailing Address - Fax:585-473-9602
Practice Address - Street 1:2101 LOC DEVILLE BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-244-1150
Practice Address - Fax:585-473-9602
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003177213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00545602Medicaid
5348309OtherAETNA PPO
8096OtherBCBS
2023838OtherAETNA HMO
000912781002OtherHEALTHY NY
101937EQOtherPREFERRED CARE
316992OtherWELLCARE
8096OtherBCBS
316992OtherWELLCARE