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Mira Staco, N.P.P. A.N.P

NPI 1235464298 · on the registry since 2009 · sole proprietor

Practice

Address
819 University St
Valley Stream, NY 11581
Phone
(516) 569-0887
Fax
(516) 569-0887

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York