Whalio Doctors

NPI 1013124510

Cobbler's Corner Shoe Repair

Organisation Customized Equipment (DME) Rochester, NY

Practice location

Address
376 Jefferson Rd, Rochester, NY 14623-2439
Phone
(585) 475-1951
Mailing address
663 Hinchey Rd, Rochester, NY 14624-2830

Authorised official

Name
Michael Fantauzzo
Title
Owner
Phone
(585) 475-1951

Registered specialties

Customized Equipment (DME) Primary
Suppliers Taxonomy 332BC3200X

Registry record

NPI
1013124510
Entity type
Organization
NPI issued
16 May 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.