Individual
MRS. CONISHA TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N # 5TH, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
656 STANTON AVE, NORTH BALDWIN, NY 11510-1734
(347) 730-1234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
668888-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
668888-1
RN LIC
NY
Enumeration date
07/03/2013
Last updated
01/19/2026
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