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

Individual provider Pedorthist · NPI 1548570591

Mr. Thomas W Fantauzzo, CPED is a Pedorthist in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1900 Clinton Ave S Feet First Inc
Rochester, NY 14618-5621
Phone: (585) 442-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X (NY)
Pedorthist Taxonomy 224L00000X

Record details

NPI number1548570591
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED
Sole proprietorYes
NPI enumeratedOctober 8, 2010
Last updated in NPPESSeptember 10, 2014

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