| Iyi | |
|
6425 Tulip St Philadelphia PA 19135-3324 | |
| (215) 971-7389 | |
| Not Available |
| Full Name | Iyi |
|---|---|
| Speciality | Clinic/center |
| Location | 6425 Tulip St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Willy Kasongo (C.E.O.) |
| Authorized Official Contact | 2159717389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iyi 6425 Tulip St Philadelphia PA 19135-3324 Ph: (215) 971-7389 | Iyi 6425 Tulip St Philadelphia PA 19135-3324 Ph: (215) 971-7389 |
| NPI Number | 1104084391 |
|---|---|
| Provider Enumeration Date | 05/25/2008 |
| Last Update Date | 05/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Secondary |
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