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:
Health care specialties
Specialty | Code | License # | 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 11 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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