NPI 1144161803

Eric Fantauzzo, CPED

Practitioner Pedorthist Rochester, NY

Practice location

Address: 2041 S Clinton Ave, Rochester, NY 14618-5704
Phone: (585) 442-4990
Mailing address: 184 Elmgrove Rd, Rochester, NY 14626-4247

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED4962 (NY)

Other Pedorthist providers in New York →

Registry record

NPI: 1144161803
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2026
Record last updated: 4 Apr 2026

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.