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Stephanie Masullo
NPI 1710353941 · on the registry since 2015
Practice
- Address
- 458 Ackerson Blvd
Brightwaters, NY 11718 - Phone
- (631) 942-2723
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York