NPI 1013124510
Cobbler's Corner Shoe Repair
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
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.