Healthcare Provider Details

I. General information

NPI: 1386574077
Provider Name (Legal Business Name): INTEGRATIVE CARE NP IN FAMILY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BROADWAY RM 1010
NEW YORK NY
10038-4377
US

IV. Provider business mailing address

150 BROADWAY RM 1010
NEW YORK NY
10038-4377
US

V. Phone/Fax

Practice location:
  • Phone: 347-556-2525
  • Fax:
Mailing address:
  • Phone: 347-556-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JANELLE SOLOMON
Title or Position: PRESIDENT
Credential: FNP
Phone: 347-556-2525