MEDICARE: MELANIE KATHLEEN CINTRON MPAS, PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	012743	NY

General Provider Information

NPI Number	:	1568610012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE KATHLEEN CINTRON MPAS, PA-C

Provider Business Mailing Address
First Line	:	50 NEW SCOTLAND AVE
Second Line	:	MC 192
City	:	ALBANY
State	:	NY
Zip	:	12208-3403
Country	:	US
Telephone Number	:	518-262-9777
Fax Number	:	518-262-9778

Provider Business Practice Location Address
First Line	:	50 NEW SCOTLAND AVE
Second Line	:	MC 192
City	:	ALBANY
State	:	NY
Zip	:	12208-3403
Country	:	US
Telephone Number	:	518-262-9777
Fax Number	:	518-262-9778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	06/30/2016

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