Provider Demographics
NPI:1356590772
Name:ANAMPA MESIAS, JESUS DEL SANTO (MD)
Entity type:Individual
Prefix:
First Name:JESUS
Middle Name:DEL SANTO
Last Name:ANAMPA MESIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JESUS
Other - Middle Name:DEL SANTO
Other - Last Name:ANAMPA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:HOFHEIMER 100
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:718-920-4826
Mailing Address - Fax:718-798-7474
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:HOFHEIMER 100
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-4826
Practice Address - Fax:718-798-7474
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276410207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology