Individual
AMANDA YISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(770) 366-5369
Mailing address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS024081
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
11/15/2024
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