MRS. Mira F. Staco, N.P.P. A.N.P.
NPI #1235464298 in Valley Stream, New York
Provider Information
- NPI Number
- 1235464298
- Entity Type
- Individual
- Name
- MRS. Mira F. Staco, N.P.P. A.N.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- N.P.P. A.N.P.
- Enumeration Date
- Oct 8, 2009
- Last Updated
- Nov 14, 2013
Practice Location
- Address
- 819 UNIVERSITY ST
- City
- Valley Stream
- State
- New York
- ZIP Code
- 11581-3517
- Phone
- (516) 569-0887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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