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MIRA STACO, N.P.P. A.N.P.
N.P.P. A.N.P.
Psychiatric/Mental Health Nurse Practitioner
NPI: 1235464298IndividualAccepts Medicare
Specialties, Licenses & Credentials
Adult Health Nurse Practitioner
Nurse Practitioner — Adult Health
Code: 363LA2200X
F306665(NY)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
401229(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Class of 2009
Contact & Hours
- Address
- 819 UNIVERSITY ST
VALLEY STREAM, NY 11581 - Phone
- (516) 569-0887
Quick Facts
- NPI
- 1235464298
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 17
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