Healthcare Provider Details

I. General information

NPI: 1770647422
Provider Name (Legal Business Name): RENO TEMPESTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7309 AVENUE X
BROOKLYN NY
11234-6633
US

IV. Provider business mailing address

7309 AVENUE X
BROOKLYN NY
11234-6633
US

V. Phone/Fax

Practice location:
  • Phone: 718-969-9079
  • Fax:
Mailing address:
  • Phone: 718-969-9079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number89436
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: