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Individual
RAUL ALEJANDRO HERRERA IZQUIERDO SR.
Active
Individual
RAUL ALEJANDRO HERRERA IZQUIERDO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
, FNP-BC, CMGT-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
893776
NY
163WC0400X
Case Management Registered Nurse
893776
NY
363LF0000X
Family Nurse Practitioner
Primary
357751
NY
Other
Enumeration date
08/16/2023
Last updated
08/17/2026
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