Individual ProviderCorinna C ManiniInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029-5204(212) 659-8551(212) 987-3100PECOS EnrollmentBased on the most recent information from CMS, provider Corinna C Manini does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1639263262Provider TypeIndividualFull NameManini, Corinna CTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date10/3/2006Last Updated8/2/2013Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029-5204Phone(212) 659-8551Fax(212) 824-2317Mailing LocationMailing Address1 Gustave L Levy Pl, Box 3000, New York, NY 10029-6504Phone(212) 987-3100Fax(212) 731-5210Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense239072New YorkProvider IdentifiersIDDescriptionIssuerID02754112DescriptionMedicaidIssuerUnlistedNew York