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Organization
BRONX INTEGRATIVE CARE NP IN FAMILY HEALTH PLLC
Active
Organization
BRONX INTEGRATIVE CARE NP IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL ALEJANDRO HERRERA IZQUIERDO FNP-BC ,CMGT-BC (OWNER)
(917) 916-9322
Entity
Organization
Contact information
Practice address
638 E 169TH ST FRNT 2, BRONX, NY 10456-2411
(917) 916-9322
Mailing address
638 E 169TH ST FRNT 2, BRONX, NY 10456-2411
(718) 691-1519
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
08/22/2026
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