MRS. MIRA F. STACO (NPI# 1235464298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235464298 |
| Entity Type | Individual |
| Full Name | MRS. MIRA F. STACO |
| Credential | N.P.P. A.N.P. |
| Practice Address |
819 University St Valley Stream NY 11581-3517 |
| Practice Telephone | 5165690887 |
| Practice Fax Number | 5165690887 |
| Mailing Telephone | 5165690887 |
| Mailing Fax Number | 5165690887 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2013-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306665 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401229 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
819 UNIVERSITY ST |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932937 | Carbon Minds LLC | Nurse Practitioner | 95 Dartmouth St, Valley Stream, NY 11581-3215 | 2019-06-26 |
| 1124353438 | Amalia Per | Nurse Practitioner | 18 Fritchie Pl, Valley Stream, NY 11580-2515 | 2009-10-05 |
| 1902056005 | Robert Lee Terrelonge | Nurse Practitioner | 33 Clarendon Dr, Valley Stream, NY 11580-2503 | 2008-09-25 |
| 1922616507 | Allison Dressekie | Nurse Practitioner | 21 Harvard St, Valley Stream, NY 11580-4817 | 2020-07-20 |
| 1174032114 | Chinelo E. Nduka | Nurse Practitioner | 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 | 2017-09-21 |
| 1255400271 | Bonnie Lynn Gildea | Nurse Practitioner | 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 | 2006-11-06 |
| 1831288547 | Marcia D Williams-hailey | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
Please comment or provide details below to improve the information on MRS. MIRA F. STACO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.