Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eric Fantauzzo, CPED

Individual provider Pedorthist · NPI 1144161803

Eric Fantauzzo, CPED is a Pedorthist in Rochester, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

2041 S Clinton Ave
Rochester, NY 14618-5704
Phone: (585) 442-4990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X · Licence CPED4962 (NY)

Record details

NPI number1144161803
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED
Sole proprietorNo
NPI enumeratedApril 4, 2026
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026
Mailing address184 Elmgrove Rd, Rochester, NY 14626-4247

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