Provider Demographics
| NPI: | 1659904613 |
|---|---|
| Name: | TWIN TIER MANAGEMENT CORP INC |
| Entity type: | Organization |
| Organization Name: | TWIN TIER MANAGEMENT CORP INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | RACHEL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MAZUR |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 614-205-1979 |
| Mailing Address - Street 1: | 1393 ELMIRA ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAYRE |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 18840-9284 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 570-888-3488 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 160 HOMER AVE STE 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | CORTLAND |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 13045-1255 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 607-756-3880 |
| Practice Address - Fax: | 607-756-3887 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-02-19 |
| Last Update Date: | 2025-05-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| No | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |