institution
Shannon Roesch, Dpm Pc
Foot Surgery Podiatrist in Floral Park, New York
NPI 1235296526

Shannon Roesch, Dpm Pc is a Foot Surgery Podiatrist based in Floral Park, NY and is specialized in Foot Surgery. Shannon Roesch, Dpm Pc practices in Floral Park, NY. The NPI Number for Shannon Roesch, Dpm Pc is 1235296526 and holds a License No. N005991 (New York).

The current practice location address for Shannon Roesch, Dpm Pc is 242 Jericho Tpke, Floral Park, NY and can be reached out via phone at 516-488-6290 and via fax at 516-488-3172.

Location: 242 Jericho Tpke, Floral Park, NY, 11001-2147
institution
Provider Profile Details
NPI Number
1235296526
Provider Name
Shannon Roesch, Dpm Pc
Credential
Provider Entity Type
Organization
Address
242 Jericho Tpke, Floral Park, NY, 11001-2147
Phone Number
516-488-6290
Fax Number
516-488-3172
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1779083 01 NY CIGNA
7444873 01 NY AETNA
00599165NY 01 NY 1199
0151722 01 NY GHI
N005991 01 NY HIP
P3722100 01 NY OXFORD
6C1150 01 NY HEALTHNET
PL2751 01 NY BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
242 Jericho Tpke
City
State
Zip
11001-2147
Phone Number
516-488-6290
Fax Number
516-488-3172
person
Provider Business Mailing Address Details
Address
242 Jericho Tpke
City
State
Zip
11001-2147
Phone Number
516-488-6290
Fax Number
516-488-3172
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N005991 (New York)
Definition
Definition to come...
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