Provider Demographics
NPI:1568610012
Name:CINTRON, MELANIE KATHLEEN (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:KATHLEEN
Last Name:CINTRON
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:KATHLEEN
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:50 NEW SCOTLAND AVE
Mailing Address - Street 2:MC 192
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3403
Mailing Address - Country:US
Mailing Address - Phone:518-262-9777
Mailing Address - Fax:518-262-9778
Practice Address - Street 1:50 NEW SCOTLAND AVE
Practice Address - Street 2:MC 192
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3403
Practice Address - Country:US
Practice Address - Phone:518-262-9777
Practice Address - Fax:518-262-9778
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012743363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant