Provider Demographics
NPI:1386661114
Name:JAMES F TWIST MD PC
Entity Type:Organization
Organization Name:JAMES F TWIST MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:TWIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-873-7227
Mailing Address - Street 1:2156 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1441
Mailing Address - Country:US
Mailing Address - Phone:716-873-7227
Mailing Address - Fax:716-873-9265
Practice Address - Street 1:2156 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14223-1441
Practice Address - Country:US
Practice Address - Phone:716-873-7227
Practice Address - Fax:716-873-9265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCL6897Medicare PIN
NYBA0902Medicare PIN
NY003121Medicare PIN