Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EJIRO VIVIAN AGBORO-IDAHOSA, M.D
ActiveDR. EJIRO VIVIAN AGBORO-IDAHOSA, M.D is a Psychiatric Neurology healthcare provider located in ELMIRA, New York. NPI 1104089390 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · ELMIRA, NY
Registration Details
- NPI Number
- 1104089390
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2008 (18.056851044894 yrs)
- Last Updated
- Jun 8, 2016
- Licenses
-
38473 (IA)38473 (IA)275859 (NY)
Practice Information
- Address
-
555 SAINT JOSEPHS BLVDELMIRA, NY, 149013223Browse NY providers · Browse ZIP 14901
- Phone
- 6077377002
- Fax
- 6077371529
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatry
Other Psychiatric Neurology Providers in ELMIRA, NY
| Name | Credential | NPI |
|---|---|---|
| SYED H JAFFERY | M.D | 1427184829 |
| ALEXANDER AZUKA JUWAH | MD | 1639335714 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.