Healthcare Provider Details

I. General information

NPI: 1932044187
Provider Name (Legal Business Name): LAWSON R CASTALDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

377 HUXLEY DR
BUFFALO NY
14225-1025
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-2874
  • Fax:
Mailing address:
  • Phone: 716-270-7641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: