Individual provider · Type 1 NPI

Eric Fantauzzo, CPED

Pedorthist · Rochester, NY

NPI number 1144161803 Active

Practice location

2041 S Clinton Ave
Rochester, NY 14618-5704

Mailing address

184 Elmgrove Rd
Rochester, NY 14626-4247

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000XCPED4962 (NY)

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

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About NPI 1144161803

Eric Fantauzzo, CPED's National Provider Identifier is 1144161803, issued on Apr 4, 2026. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Rochester, NY. The record was last updated on Apr 4, 2026.