Individual ProviderJoanna MandellFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address64 Bleecker St # 151, New York, NY 10012-2410(302) 313-1584PECOS EnrollmentBased on the most recent information from CMS, provider Joanna Mandell 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 yesterday at 9:15 AM.Profile DetailsProvider ID1831333780Provider TypeIndividualFull NameMandell, JoannaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/22/2009Last Updated1/28/2021Contact InformationPractice LocationPractice Address64 Bleecker St # 151, New York, NY 10012-2410Phone(302) 313-1584FaxUnlisted FaxMailing LocationMailing Address64 Bleecker St # 151, New York, NY 10012-2410Phone(302) 313-1584FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA113134CaliforniaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseQ3549Texas