Dr. Ejiro Vivian Agboro-Idahosa, MD
Dr. Ejiro Vivian Agboro-Idahosa, MD is a Psychiatry in Elmira, New York. Qualified in 1994, 32 years ago. Practices with Waverly Medical Associates LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Iowa and New York.
- Years since qualifying
- 32
- Licensed in
- IA, NY
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
555 Saint Josephs BlvdElmira, NY 14901-3223
Phone: (607) 737-7002
Fax: (607) 737-1529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 38473 (IA) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 38473 (IA) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 275859 (NY) |
Record details
| NPI number | 1104089390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 8, 2008 |
| Last updated in NPPES | June 8, 2016 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | Waverly Medical Associates Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Elmira
-
Namita Neerukonda Arboleda, MD
600 Roe Ave, Elmira, NY 14905-1676 · (607) 737-7012
-
Dr. Herman Berliss, MD
22 Graycliff Dr, Elmira, NY 14903-7971 · (607) 737-1326
-
Sophia Bezirganian, MD
1003 Walnut St, Elmira, NY 14901-1007 · (607) 732-5646
-
Bhupinder Brar
555 Saint Josephs Blvd, Elmira, NY 14901-3223 · (607) 737-7002