Roesch, Shannon

Roesch, Shannon is an sole proprietor health care provider with primary practice located at 242 Jericho Tpke , Floral Park NY 11001-2147. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Roesch, Shannon can be contacted via phone (516) 488-6290.

Contact Information

Primary practice address
242 Jericho Tpke Floral Park NY 11001-2147
Phone: (516) 488-6290
Fax: (516) 488-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005991 New York

Profile Details

NPI number 1992876239
LBN Legal business name Roesch, Shannon
Credentials DPM PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Dec 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992876239 NPPES
New York Other 00599165NY 1199
New York Other 6C1150 1199
New York Other 0151722 1199
New York Other 1779083 1199
New York Other 7444873 1199
New York Other P3722100 1199
New York Other N005991 1199
New York Other PL2751 1199

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