Individual ProviderChatarra PetersLicensed Practical NurseNursing Service ProvidersPractice Address365 Broadway, Suite 4a, Amityville, NY 11701-2716(631) 608-8523(631) 889-9452PECOS EnrollmentBased on the most recent information from CMS, provider Chatarra Peters does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1265802078Provider TypeIndividualFull NamePeters, ChatarraGenderFemaleSole ProprietorYesEnumeration Date10/6/2015Last Updated10/6/2015Contact InformationPractice LocationPractice Address365 Broadway, Suite 4a, Amityville, NY 11701-2716Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address19 Essen Dr, Amityville, NY 11701-1821Phone(631) 889-9452FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense323369New York