Waverly Medical Associates LLC
Waverly Medical Associates LLC is an Internal Medicine Physician in Waverly, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
348 Broad StWaverly, NY 14892-1441
Phone: (607) 821-2444
Fax: (607) 948-1030
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 276514 (NY) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 275859 (NY) |
Record details
| NPI number | 1457757486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Victor Idahosa — Owner · (607) 821-2444 |
| NPI enumerated | November 19, 2014 |
| Last updated in NPPES | September 23, 2016 |
| Mailing address | 348 Broad St, Waverly, NY 14892-1441 |