National Provider Identifier
Thomas W Fantauzzo, C.PED
Thomas W Fantauzzo, C.PED is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier in Rochester, NY and a listed phone number of (585) 442-4990.
Profile Overview
- NPI
- 1548570591
- Provider Type
- Individual
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- October 08, 2010
- Last Updated
- September 10, 2014
Practice Location
- 1900 Clinton Ave S
- Feet First Inc.
- Rochester, NY 14618-5621
Phone: (585) 442-4990
Mailing Address
- 46 Capri Dr
- Thomas Fantauzzo
- Rochester, NY 14624-1357
Specialties
- Prosthetic/Orthotic Supplier (335E00000X)
- Pedorthist (224L00000X)
Full Record
- NPI
- 1548570591
- Entity Type
- Individual
- Last Name
- Fantauzzo
- First Name
- Thomas
- Middle Name
- W
- Name Prefix
- Mr.
- Credential
- C.PED
- Mailing Street Address
- 46 Capri Dr
- Mailing Address Line 2
- Thomas Fantauzzo
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1357
- Mailing Country
- US
- Mailing Phone
- (585) 247-7809
- Practice Street Address
- 1900 Clinton Ave S
- Practice Address Line 2
- Feet First Inc.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5621
- Practice Country
- US
- Practice Phone
- (585) 442-4990
- Enumeration Date
- October 08, 2010
- Last Updated
- September 10, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prosthetic/Orthotic Supplier (335E00000X), Pedorthist (224L00000X)