MRS. MIRA STACO, N.P.P. A.N.P.

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1235464298

Practice Address

819 UNIVERSITY ST
Valley Stream, NY 11581

Phone: (516) 569-0887

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No F306665 (NY)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 401229 (NY)

Frequently Asked Questions

NPI 1235464298 is the National Provider Identifier for MRS. MIRA STACO, N.P.P. A.N.P., a Nurse Practitioner - Psychiatric/Mental Health provider located in Valley Stream, NY. This NPI was enumerated on October 8, 2009.
MRS. MIRA STACO, N.P.P. A.N.P. practices at 819 UNIVERSITY ST, Valley Stream, NY 11581.

Quick Facts

NPI
1235464298
Type
Individual
Enumerated
Oct 8, 2009
Last Updated
Nov 14, 2013

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