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
Phone: (718) 205-0287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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