PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC - NPI 1629174842

Q: What is Penn Neurology And Psychiatry Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Penn Neurology And Psychiatry Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC (NPI 1629174842) is a healthcare organization registered as a specialist in Moosic, Pennsylvania and active in the NPI registry since September 2006. The organization lists Iqbal Khan, President, as its authorized official.

NPPES Registry Identity

NPI1629174842

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC

Location Address340 MONTAGE MOUNTAIN RD, SUITE DMoosic, PA 18507-1782

Mailing Address340 Montage Mountain Rd, Suite DMoosic, PA 18507-1782 · (570) 909-9411 · Fax (866) 259-6004

Phone(570) 909-9411

Fax(866) 259-6004

Organization SubpartNo

Authorized OfficialIqbal KhanPresident · (570) 909-9411

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJune 29, 2015

✔ NPI 1629174842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in PA · MD052377L✔ Licensed in PA · MD065153L

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Other Identifiers 2

Medicaid1011631480001PA

Medicare UPIN083044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA LYN FIDIAM PA-C

Physician Assistant (Medical)