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MS. SHANNON ELIZABETH MASULLO MS CCC-SLP, IBCLC
NPI 1396125787
Specialist in Astoria, NY

Active since June 01, 2015
2004 43RD ST, ASTORIA, NY 11105(646) 772-6685 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shannon Elizabeth Masullo Ms Ccc-slp, Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNON ELIZABETH MASULLO MS CCC-SLP, IBCLC (NPI 1396125787) is an individual specialist in Astoria, New York and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1396125787
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. SHANNON ELIZABETH MASULLOCredential: MS CCC-SLP, IBCLC
Location Address2004 43RD STAstoria, NY 11105-1239
Mailing Address2004 43rd StAstoria, NY 11105-1239
Phone(646) 772-6685
Sole ProprietorNo
Enumeration DateJune 1, 2015
Last NPPES UpdateApril 22, 2025
NPPES CertifiedMarch 15, 2025
✔ NPI 1396125787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2004 43RD ST, Astoria, NY 11105
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Masullo's NPI number?

The NPI number for Shannon Masullo is 1396125787. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Shannon Masullo located?

Shannon Masullo practices at 2004 43rd St, Astoria, NY 11105. The listed phone number is (646) 772-6685.

What is Shannon Masullo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shannon Masullo was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.