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
(917) 916-9322
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/08/2026
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