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 |