Healthcare Provider Details

I. General information

NPI: 1659904613
Provider Name (Legal Business Name): TWIN TIER MANAGEMENT CORP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 HOMER AVE STE 1
CORTLAND NY
13045-1255
US

IV. Provider business mailing address

1393 ELMIRA ST
SAYRE PA
18840-9284
US

V. Phone/Fax

Practice location:
  • Phone: 607-756-3880
  • Fax: 607-756-3887
Mailing address:
  • Phone: 570-888-3488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MAZUR
Title or Position: CEO
Credential:
Phone: 614-205-1979