Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nirvana Integrative Medicine, PLLC

Organization Adolescent Medicine (Internal Medicine) Physician · NPI 1346554342

Nirvana Integrative Medicine, PLLC is an Adolescent Medicine (Internal Medicine) Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1469 Astor Ave
Bronx, NY 10469-5846
Phone: (347) 346-6915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0000X · Licence 218349 (NY)

Record details

NPI number1346554342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilora Rafique — Md · (347) 346-6910
NPI enumeratedAugust 2, 2010
Last updated in NPPESAugust 2, 2010
Mailing address1469 Astor Ave, Bronx, NY 10469-5846

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