Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Roesch, DPM PC

Organization Foot Surgery Podiatrist · NPI 1235296526

Shannon Roesch, DPM PC is a Foot Surgery Podiatrist in Floral Park, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

242 Jericho Tpke
Floral Park, NY 11001-2147
Phone: (516) 488-6290
Fax: (516) 488-3172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence N005991 (NY)

Record details

NPI number1235296526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Roesch — Dr · (516) 488-6290
NPI enumeratedJanuary 3, 2007
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019
Mailing address242 Jericho Tpke, Floral Park, NY 11001-2147

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