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NPI Code Detail

MEDICARE: HOSSAMELDIN GHANEM RPH

MEDICARE:   HOSSAMELDIN  GHANEM  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist072772NY

General Provider Information

NPI Number : 1275468167
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOSSAMELDIN GHANEM RPH
Provider Business Mailing Address
First Line : 32 PRINCE LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-4312
Country : US
Telephone Number : 347-982-5769
Fax Number :
Provider Business Practice Location Address
First Line : 32 PRINCE LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-4312
Country : US
Telephone Number : 347-967-7252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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