Provider Demographics
NPI:1043224991
Name:TEMPROSA, MARGARITA (RPT)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:TEMPROSA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WESTBURY BLVD
Mailing Address - Street 2:ATTENTION: ELMER REMON
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550
Mailing Address - Country:US
Mailing Address - Phone:516-683-3900
Mailing Address - Fax:516-483-3517
Practice Address - Street 1:220 EAST 161 STREET
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-681-7000
Practice Address - Fax:718-537-7021
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024827261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ28N31Medicare ID - Type Unspecified