Shannon Roesch, Dpm Pc in Floral Park - Foot Surgery
Shannon Roesch, Dpm Pc - NPI 1235296526
Shannon Roesch, Dpm Pc is a Foot Surgery in Floral Park, New York. Shannon Roesch, Dpm Pc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Shannon Roesch, Dpm Pc is 1235296526. The last update date is 2019-12-30.
Shannon Roesch, Dpm Pc's current location address is 242 Jericho Tpke, Floral Park, New York. You can contact this provider via phone number 5164886290 and fax number 5164883172. The mailing address for Shannon Roesch, Dpm Pc is 242 Jericho Tpke, Floral Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shannon Roesch, Dpm Pc |
|---|---|
| Address | 242 Jericho Tpke, Floral Park, New York |
| Phone Number | 5164886290 |
| Fax Number | 5164883172 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR |
|---|---|
| Authorized Official Name | Roesch Shannon |
| Credentials | MD |
| Telephone Number | 5164886290 |
NPI Number Detail
| NPI Number | 1235296526 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2019-12-30 |
Provider Mailing Address Detail
| Address | 242 Jericho Tpke |
|---|---|
| City | Floral Park |
| State | New York (NY) |
| Post Code | 110012147 |
| Phone Number | 5164886290 |
| Fax Number | 5164883172 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | N005991 |
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Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shannon Roesch, Dpm Pc by the Centers for Medicare & Medicaid Services?
The Shannon Roesch, Dpm Pc has been issued the NPI (National Provider Identifier) 1235296526 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Shannon Roesch, Dpm Pc is physically located?
The Shannon Roesch, Dpm Pc is situated at the following address: 242 Jericho Tpke, Floral Park, NY 110012147.
What is Shannon Roesch, Dpm Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon Roesch, Dpm Pc's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235296526 to Shannon Roesch, Dpm Pc?
The Shannon Roesch, Dpm Pc received its 1235296526 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.
When was the information related to Shannon Roesch, Dpm Pc most recently updated or refreshed?
The details pertaining to the Shannon Roesch, Dpm Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-12-30.