Provider Demographics
NPI:1982038014
Name:CINTRON, MARLENE (LPN)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MARLENE
Other - Middle Name:
Other - Last Name:CINTRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:32 RIDGE RD APT 2
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12542-5170
Mailing Address - Country:US
Mailing Address - Phone:845-542-8755
Mailing Address - Fax:
Practice Address - Street 1:32 RIDGE RD APT 2
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NY
Practice Address - Zip Code:12542-5170
Practice Address - Country:US
Practice Address - Phone:845-542-8755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253478164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse