Provider Demographics
NPI:1639263262
Name:MANINI, CORINNA C (MD)
Entity Type:Individual
Prefix:DR
First Name:CORINNA
Middle Name:C
Last Name:MANINI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 3000
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:212-987-3100
Mailing Address - Fax:212-731-5210
Practice Address - Street 1:17 E 102ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5204
Practice Address - Country:US
Practice Address - Phone:212-659-8551
Practice Address - Fax:212-824-2317
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2013-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY239072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02754112Medicaid