Provider Demographics
NPI:1194853473
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:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROEGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-887-4453
Mailing Address - Street 1:402 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3484
Mailing Address - Country:US
Mailing Address - Phone:877-815-2627
Mailing Address - Fax:607-273-4722
Practice Address - Street 1:402 3RD ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-3484
Practice Address - Country:US
Practice Address - Phone:877-815-2627
Practice Address - Fax:607-273-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X, 332BX2000X, 335E00000X
NY332BC3200X, 332BP3500X, 332BX2000X, 335E00000X
PA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0305220006Medicare NSC
NY0305220006Medicare NSC