Staco, Mira F.

Staco, Mira F. is an sole proprietor health care provider with primary practice located at 819 University St , Valley Stream NY 11581-3517. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Staco, Mira F. can be contacted via phone (516) 569-0887.

Contact Information

Primary practice address
819 University St Valley Stream NY 11581-3517
Phone: (516) 569-0887
Fax: (516) 569-0887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F306665 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401229 New York

Profile Details

NPI number 1235464298
LBN Legal business name Staco, Mira F.
Credentials N.P.P. A.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2009
Last updated Nov 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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