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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SHANNON ELIZABETH MASULLO, MS CCC-SLP, IBCLC

Active

MS. SHANNON ELIZABETH MASULLO, MS CCC-SLP, IBCLC is a Specialist healthcare provider located in ASTORIA, New York. NPI 1396125787 is currently active in the NPPES registry. Verify at CMS.

Specialist · ASTORIA, NY

Registration Details

NPI Number
1396125787
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2015 (11.201668662564 yrs)
Last Updated
Apr 22, 2025

Practice Information

Address
2004 43RD ST
ASTORIA, NY, 111051239
Browse NY providers · Browse ZIP 11105
Phone
6467726685
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ASTORIA, NY

Name Credential NPI
RAJA G OGIRALA M.D 1427044023
DR. GERASIMOS PAPADATOS MD 1669433983
ROCHELLE DEJELO PT 1851337752
IOANNIS STATHOPOULOS MD 1578586533
DR. DANIEL JOSEPH FEUER M.D. 1598778862
NABIL M FAHIM DPM 1720194517
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.