Yankee Neurophysiology, P.C.
in Conshohocken, PA. Organization (NPI-2).
NPI number1407192594
StatusActive
Last updated in NPPESAug 11, 2026
Details
- NPI
- 1407192594
- Entity type
- Organization (NPI-2)
- Legal business name
- Yankee Neurophysiology, P.C.
- Organization subpart
- No
- Enumeration date
- Dec 18, 2012
- Certification date
- Aug 11, 2026
- Last updated
- Aug 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | – | Yes | |
| 204R00000X | Electrodiagnostic Medicine | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – |
Practice location
300 Conshohocken State Rd Ste 450Conshohocken, PA 19428-3801
Phone 484-351-8459
Mailing address
1141 N Loop 1604 E Ste 105-484San Antonio, TX 78232-1339
Phone 484-351-8459
Authorized official
Stephen Fried
Owner
4843518459
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