# BRONX INTEGRATIVE CARE NP IN FAMILY HEALTH PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568395093
- **Authorized official:** RAUL ALEJANDRO HERRERA IZQUIERDO FNP-BC ,CMGT-BC (OWNER)
- **Authorized official phone:** (917) 916-9322

## Contact information

- **Practice address:** 638 E 169TH ST FRNT 2, BRONX, NY 10456-2411
- **Practice address phone:** (917) 916-9322
- **Mailing address:** 638 E 169TH ST FRNT 2, BRONX, NY 10456-2411
- **Mailing address phone:** (718) 691-1519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 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 | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2026
- **Last updated:** 08/22/2026