Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ROESCH, DPM PC
Active Sole ProprietorSHANNON ROESCH, DPM PC is a Foot & Ankle Surgery Podiatrist healthcare provider located in FLORAL PARK, New York. NPI 1992876239 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · FLORAL PARK, NY
Registration Details
- NPI Number
- 1992876239
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2006 (19.804438292484 yrs)
- Last Updated
- Dec 30, 2019
- License
-
N005991 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
242 JERICHO TPKEFLORAL PARK, NY, 110012147Browse NY providers · Browse ZIP 11001
- Phone
- 5164886290
- Fax
- 5164883172
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in FLORAL PARK, NY
| Name | Credential | NPI |
|---|---|---|
| JONATHAN ENGELHARDT | DPM | 1144846130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.