Healthcare Provider Details

I. General information

NPI: 1275799793
Provider Name (Legal Business Name): T W CAPITAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 E 138TH ST
BRONX NY
10454-3099
US

IV. Provider business mailing address

389 E 138TH ST
BRONX NY
10454-3099
US

V. Phone/Fax

Practice location:
  • Phone: 718-292-2300
  • Fax: 718-292-5400
Mailing address:
  • Phone: 718-292-2300
  • Fax: 718-292-5400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: POLINA VAINER
Title or Position: OWNER
Credential:
Phone: 718-265-4222