Italian-American food grew out of Italian but takes advantage of ingredients and techniques most common here.

So when prominent Center City restaurateurs Valerie Safran and Marcie Turney turned their attention to Italian-American, they crafted a menu that would be at home in South Philly but with uptown touches.
The two made their mark previously with everything from Indian to Spanish to pizza. Researching Italian-American was easier than those dining around the right neighborhoods in Philadelphia and New York.

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Source: http://abclocal.go.com