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Organization
BLUEANKH
Active
Organization
BLUEANKH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ANNETTE IVEY RN (CEO)
(718) 909-5838
Entity
Organization
Contact information
Practice address
12001 142ND ST, JAMAICA, NY 11436-1412
(718) 909-5838
Mailing address
12001 142ND ST, JAMAICA, NY 11436-1412
(718) 909-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WN0003X
Low-Risk Neonatal Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
163WP1700X
Perinatal Registered Nurse
—
—
163WR1000X
Reproductive Endocrinology/Infertility Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
—
163WX0002X
High-Risk Obstetric Registered Nurse
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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