Provider Demographics
NPI:1275799793
Name:T W CAPITAL CORP
Entity Type:Organization
Organization Name:T W CAPITAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:POLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-265-4222
Mailing Address - Street 1:389 E 138TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-3099
Mailing Address - Country:US
Mailing Address - Phone:718-292-2300
Mailing Address - Fax:718-292-5400
Practice Address - Street 1:389 E 138TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-3099
Practice Address - Country:US
Practice Address - Phone:718-292-2300
Practice Address - Fax:718-292-5400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:T W CAPITAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-04
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5411220002Medicare NSC