MRS. MIRA F. STACO N.P.P. A.N.P. NPI 1235464298

NPI Information

NPI: 1235464298
Provider Name: MRS. MIRA F. STACO, N.P.P. A.N.P.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
819 UNIVERSITY ST
VALLEY STREAM, NY
ZIP 11581
Phone: (516) 569-0887
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MRS. Mira F. Staco, N.P.P. A.N.P. is a psychiatric/mental health nurse practitioner in Valley Stream, NY with 15 years of experience. MRS. Mira F. Staco, N.P.P. A.N.P. NPI is 1235464298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

819 UNIVERSITY ST
VALLEY STREAM, NY
ZIP 11581-517
Phone: (516) 569-0887
Fax: (516) 569-0887

The NPI 1235464298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 11/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F306665	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	401229	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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