Individual
MELISSA N SCIOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
139 PROFESSIONAL PARKWAY, LOCKPORT, NY 14094
(716) 433-6711
(716) 433-0546
Mailing address
139 PROFESSIONAL PARKWAY, LOCKPORT, NY 14094
(716) 433-6711
(716) 433-0546
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
220973
NY
2080A0000X
Pediatric Adolescent Medicine Physician
220973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025704701
UNIVERA HEALTHCARE
NY
01
—
000526470001
BLUE CROSS BLUE SHIELD
NY
05
—
02161791
—
NY
01
—
1211256
INDEPENDENT HEALTH
NY
Enumeration date
04/21/2006
Last updated
03/29/2012
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