Individual provider · Type 1 NPI

Melissa Bucklin, PA

Medical Physician Assistant · Syracuse, NY

NPI number 1285414730 Active

Practice location

750 East Adams Street
Syracuse, NY 13210

Call (315) 464-8200 Map

Fax (315) 464-8206

Mailing address

251 Salina Meadows Parkway, Ste 100
Syracuse, NY 13212

Other practice locations

  • 2150 Pennsylvania Ave NW, Washington, DC 20037-3201 · (202) 741-2210

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA200002041 (DC)
Medical Physician Assistant Primary 363AM0700X035913 (NY)
Medical Physician Assistant 363AM0700X0110009633 (VA)
Physician Assistant 363A00000X035913 (NY)
Medical Physician Assistant 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1285414730

Melissa Bucklin, PA's National Provider Identifier is 1285414730, issued on Oct 3, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Syracuse, NY. The record was last updated on Aug 24, 2026.