Healthcare Provider Details

I. General information

NPI: 1609249952
Provider Name (Legal Business Name): TRI-COUNTY HEALTHCARE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 12/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MEADOWBROOK DR
HUNTINGDON VALLEY PA
19006-6835
US

IV. Provider business mailing address

2209 NAPFLE ST
PHILADELPHIA PA
19152-3711
US

V. Phone/Fax

Practice location:
  • Phone: 215-668-9549
  • Fax:
Mailing address:
  • Phone: 215-668-9549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BERKOWITZ
Title or Position: OWNER
Credential:
Phone: 215-220-3845