Provider Demographics
NPI:1891927174
Name:ISRAEL, TZIPORAH B (PA)
Entity type:Individual
Prefix:
First Name:TZIPORAH
Middle Name:B
Last Name:ISRAEL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 568
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-0568
Mailing Address - Country:US
Mailing Address - Phone:800-345-0064
Mailing Address - Fax:973-251-1109
Practice Address - Street 1:60 NORTH MIDLAND AVENUE
Practice Address - Street 2:NYACK HOSPITAL
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:854-348-2345
Practice Address - Fax:973-251-1109
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
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Provider Licenses
StateLicense IDTaxonomies
NY007300-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant