| Yankee Neurophysiology, P.c. | |
|
100 Front Street Suite 280 West Conshohocken PA 19428-2891 | |
| (484) 351-8459 | |
| Not Available |
| Full Name | Yankee Neurophysiology, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 Front Street, West Conshohocken, Pennsylvania |
| Authorized Official Name and Position | Stephen Fried (OWNER) |
| Authorized Official Contact | 4843518459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yankee Neurophysiology, P.c. 1141 N Loop 1604 E Ste 105-484 San Antonio TX 78232-1339 Ph: (484) 351-8459 | Yankee Neurophysiology, P.c. 100 Front Street Suite 280 West Conshohocken PA 19428-2891 Ph: (484) 351-8459 |
| NPI Number | 1407192594 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/08/2025 |
| Certification Date | 12/08/2025 |
| Medicare PECOS PAC ID | 5698929883 |
|---|---|
| Medicare Enrollment ID | O20130218000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407192594 | NPI | - | NPPES |
| Provider Name | Mohammad T Farooq |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659302123 PECOS PAC ID: 5799799581 Enrollment ID: I20060201000071 |
| Provider Name | Sonia Anand Nichols |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427205939 PECOS PAC ID: 3577709088 Enrollment ID: I20131106001031 |
Peter C. Kleponis, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Four Falls Corporate Center, Suite 312, West Conshohocken, PA 19428 Phone: 610-397-0960 Fax: 610-397-0954 |