Organization
IVY MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIGE MILLER (AUTHORIZED OFFICIAL)
(718) 534-0689
Entity
Organization
Contact information
Practice address
885 3RD AVE FL 28, NEW YORK, NY 10022-4834
(929) 650-3990
(929) 996-6230
Mailing address
885 3RD AVE FL 28, NEW YORK, NY 10022-4834
(929) 650-3990
(929) 996-6230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
04/23/2026
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