Provider Demographics
NPI:1770577470
Name:TWIN TIER PATHOLOGY ASSOCIATES, PC
Entity type:Organization
Organization Name:TWIN TIER PATHOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:TERZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-798-5219
Mailing Address - Street 1:1249 UPPER FRONT ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-1136
Mailing Address - Country:US
Mailing Address - Phone:315-218-1855
Mailing Address - Fax:607-772-1223
Practice Address - Street 1:169 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4246
Practice Address - Country:US
Practice Address - Phone:607-798-5219
Practice Address - Fax:607-798-6707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY54204AMedicare ID - Type Unspecified