person
Mrs. Mira F. Staco, NPPANP
Psychiatric/Mental Health Nurse Practitioner in Valley Stream, New York
NPI 1235464298

Mira F. Staco is a Psychiatric/Mental Health Nurse Practitioner based in Valley Stream, NY and is specialized in Psychiatric/Mental Health. Mira F. Staco practices in Valley Stream, NY and has the professional credentials of NPPANP. The NPI Number for Mira F. Staco is 1235464298 and holds a License No. F306665 (New York).

The current practice location address for Mira F. Staco is 819 University St, Valley Stream, NY and can be reached out via phone at 516-569-0887 and via fax at 516-569-0887.

Location: 819 University St, Valley Stream, NY, 11581-3517
person
Provider Profile Details
NPI Number
1235464298
Provider Name
Mira F. Staco
Credential
NPPANP
Provider Entity Type
Individual
Gender
Female
Address
819 University St, Valley Stream, NY, 11581-3517
Phone Number
516-569-0887
Fax Number
516-569-0887
Provider Enumeration Date
10/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
819 University St
City
State
Zip
11581-3517
Phone Number
516-569-0887
Fax Number
516-569-0887
person
Provider Business Mailing Address Details
Address
819 University St
City
State
Zip
11581-3517
Phone Number
516-569-0887
Fax Number
516-569-0887
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
401229 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F306665 (New York)
Definition
Definition to come...
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