Individual
MRS. GRACE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
6111 QUEENS BLVD, WOODSIDE, NY 11377-4965
(718) 205-0287
Mailing address
6111 QUEENS BLVD, WOODSIDE, NY 11377-4965
(718) 205-0287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643179
NY
363LF0000X
Family Nurse Practitioner
Primary
F349788
NY
Other
Enumeration date
12/05/2012
Last updated
01/06/2026
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