Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agezi Igboko

Individual provider Nurse Practitioner · NPI 1790350882

Agezi Igboko is a Nurse Practitioner in Elmira, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

950 County Rd
Elmira, NY 14903
Phone: (607) 796-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 348029 (NY)

Record details

NPI number1790350882
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2021
Last updated in NPPESMarch 30, 2023
Certification dateAugust 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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