Provider Demographics
NPI:1871764225
Name:TEMPEL, MILA
Entity type:Individual
Prefix:
First Name:MILA
Middle Name:
Last Name:TEMPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 EMMONS AVENUE
Mailing Address - Street 2:BROOKLYN GASTROENTEROLOGY AND ENDOSCOPY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-368-2960
Mailing Address - Fax:718-368-2249
Practice Address - Street 1:2211 EMMONS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2727
Practice Address - Country:US
Practice Address - Phone:718-368-2960
Practice Address - Fax:718-368-2249
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2497972080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology