Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 279267 | NY |
Y | 111NI0900X | Internist | 279267 | NY |
N | 207R00000X | Internist | MD040705 | DC |
N | 111NI0900X | Internist | MD040705 | DC |
N | 207RG0300X | Geriatric Medicine | 279267 | NY |
NPI | 1033412218 |
---|---|
Provider Name | Dr. Brian Africa |
First Address | New York, NY 10023-6349 |
Second Address | New York, NY 10019-8022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2010 |
Last Update Date | 18/10/2018 |