person
Mr. Thomas W Fantauzzo, CPED
Prosthetic/Orthotic Supplier in Rochester, New York
NPI 1548570591

Thomas W Fantauzzo is a Prosthetic/Orthotic Supplier based in Rochester, NY. Thomas W Fantauzzo practices in Rochester, NY and has the professional credentials of CPED. The NPI Number for Thomas W Fantauzzo is 1548570591 and holds a License No. (New York).

The current practice location address for Thomas W Fantauzzo is 1900 Clinton Ave S, Rochester, NY and can be reached out via phone at 585-442-4990. You can also correspond with Thomas W Fantauzzo through the mailing address at 46 CAPRI DR, ROCHESTER, NY - 14624-1357 (mailing address contact number: 585-247-7809).

Location: 1900 Clinton Ave S, Rochester, NY, 14624-1357
person
Provider Profile Details
NPI Number
1548570591
Provider Name
Thomas W Fantauzzo
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
1900 Clinton Ave S, Rochester, NY, 14624-1357
Phone Number
585-442-4990
Fax Number
Provider Enumeration Date
10/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 Clinton Ave S
City
State
Zip
14618-5621
Phone Number
585-442-4990
Fax Number
person
Provider Business Mailing Address Details
Address
46 Capri Dr
City
State
Zip
14624-1357
Phone Number
585-247-7809
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
License No.
(New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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