Individual
ERIC FANTAUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
2041 S CLINTON AVE, ROCHESTER, NY 14618-5704
(585) 442-4990
Mailing address
184 ELMGROVE RD, ROCHESTER, NY 14626-4247
(585) 794-1960
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED4962
NY
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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