Mrs Mira F Staco, NPP ANP | |
819 University St, Valley Stream, NY 11581-3517 | |
(516) 569-0887 | |
(516) 569-0887 |
Full Name | Mrs Mira F Staco |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 819 University St, Valley Stream, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235464298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F306665 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401229 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Vincent's Services Inc | 7012808793 | 5 |
Entity Name | St. Vincent's Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003015694 PECOS PAC ID: 7012808793 Enrollment ID: O20140609001198 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mira F Staco, NPP ANP 819 University St, Valley Stream, NY 11581-3517 Ph: (516) 569-0887 | Mrs Mira F Staco, NPP ANP 819 University St, Valley Stream, NY 11581-3517 Ph: (516) 569-0887 |
Ms. Abimbola Jaiyesimi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 W Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 | |
Taylor Marie Raia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy Fl 3, Valley Stream, NY 11581 Phone: 516-336-5255 | |
Elana Deutscher, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Hungry Harbor Rd, Valley Stream, NY 11581 Phone: 917-349-6395 | |
Kemesha Scott-denehy, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42 Rose Ave, Valley Stream, NY 11580 Phone: 516-837-0415 | |
Ms. Janice Campbell-brewster, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581 Phone: 631-751-3000 | |
Chikodi Obichere, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Ash Ln, Valley Stream, NY 11581 Phone: 917-536-8517 | |
Smith Maxume, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Liberty Blvd, Valley Stream, NY 11580 Phone: 347-737-3009 |