Provider Demographics
NPI:1871614289
Name:TWIN TIER CARDIOVASCULAR ASSOC.
Entity type:Organization
Organization Name:TWIN TIER CARDIOVASCULAR ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:LADELIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-733-4681
Mailing Address - Street 1:200 MADISON AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3218
Mailing Address - Country:US
Mailing Address - Phone:607-733-4681
Mailing Address - Fax:607-733-1729
Practice Address - Street 1:200 MADISON AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-3218
Practice Address - Country:US
Practice Address - Phone:607-733-4681
Practice Address - Fax:607-733-1729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty