Ivey, Grace

Ivey, Grace is an sole proprietor health care provider with primary practice located at 6111 Queens Blvd , Woodside NY 11377-4965. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ivey, Grace can be contacted via phone (718) 205-0287.

Contact Information

Primary practice address
6111 Queens Blvd Woodside NY 11377-4965
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F349788 New York
Nursing Service Providers / Registered Nurse 163W00000X 643179 New York

Profile Details

NPI number 1043555865
LBN Legal business name Ivey, Grace
Credentials NP, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2012
Last updated Jan 6th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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