Healthcare Provider Details

I. General information

NPI: 1578064853
Provider Name (Legal Business Name): FEET FIRST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 S CLINTON AVE
ROCHESTER NY
14618-5704
US

IV. Provider business mailing address

2041 S CLINTON AVE
ROCHESTER NY
14618-5704
US

V. Phone/Fax

Practice location:
  • Phone: 585-442-4990
  • Fax: 585-442-7169
Mailing address:
  • Phone: 585-442-4990
  • Fax: 585-442-7169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224L00000X
TaxonomyPedorthist
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. THOMAS W FANTAUZZO
Title or Position: PRESIDENT
Credential:
Phone: 585-442-4990