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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS W FANTAUZZO, C.PED

Active Sole Proprietor

MR. THOMAS W FANTAUZZO, C.PED is a Prosthetic/Orthotic Supplier healthcare provider located in ROCHESTER, New York. NPI 1548570591 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · ROCHESTER, NY

Registration Details

NPI Number
1548570591
Provider Type
Individual
Gender
Male
NPI Issued
Oct 8, 2010 (15.875118153076 yrs)
Last Updated
Sep 10, 2014
Sole Proprietor
Yes

Practice Information

Address
1900 CLINTON AVE S
FEET FIRST INC.
ROCHESTER, NY, 146185621
Browse NY providers · Browse ZIP 14618
Phone
5854424990
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Additional Specialty
Prosthetic/Orthotic Supplier

Other Prosthetic/Orthotic Supplier Providers in ROCHESTER, NY

Name Credential NPI
VINCENZO CATARISANO COSMETOLOGIST 1295327708
MONALISA MARTINEZ 1487332540
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.