MEDICARE: PETER GHATTAS

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
1	183500000X	Pharmacist	072169	NY

General Provider Information

NPI Number	:	1639032972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER GHATTAS

Provider Business Mailing Address
First Line	:	6453 AMBOY RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-3122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4422 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

Similar Medicare Providers

1922748706 — DR. STANISLAW BANKOWSKI MD
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2594

Practice Phone: 718-960-6202
Practice Fax:

1275276925 — DR. JOSEPH SIMON TRAINER
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2594

Practice Phone: 718-960-6663
Practice Fax:

1770447914 — LULJETA HOXHA
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2594

Practice Phone: 718-960-9000
Practice Fax:

1932063039 — MELVI DEL VALLE EGUIA
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2594

Practice Phone: 718-960-6202
Practice Fax: 718-960-3218

1134195324 — DR. KATHRYN R KO M.D.
Practice Location Address:

3RD AVENUE AND 183RD STREET , ST. BARNABAS HOSPITAL
BRONX, NY
10457-2594

Practice Phone: 718-960-3788
Practice Fax:

1508828609 — DR. JOEL A SENDER M.D.
Practice Location Address:

4422 3RD AVE FL 4
BRONX, NY
10457-2594

Practice Phone: 718-960-3100
Practice Fax: 718-960-5049

Directions to “ PETER GHATTAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.