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Dr. Ejiro Vivian Agboro-idahosa, MD
Psychiatry Physician in Elmira, New York
NPI 1104089390

Ejiro Vivian Agboro-idahosa is a Psychiatry Physician based in Elmira, NY and is specialized in Psychiatry. Ejiro Vivian Agboro-idahosa practices in Elmira, NY and has the professional credentials of MD. The NPI Number for Ejiro Vivian Agboro-idahosa is 1104089390 and holds a License No. 38473 (New York).

The current practice location address for Ejiro Vivian Agboro-idahosa is 555 Saint Josephs Blvd, Elmira, NY and can be reached out via phone at 607-737-7002 and via fax at 607-737-1529.

Location: 555 Saint Josephs Blvd, Elmira, NY, 14901-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104089390
Provider Name
Ejiro Vivian Agboro-idahosa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
555 Saint Josephs Blvd, Elmira, NY, 14901-3230
Phone Number
607-737-7002
Fax Number
607-737-1529
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38473 01 IA IOWA LICENSE
275859 01 NY STATE LICENSE
1243767 01 IA CONTROLLED SUBSTANCE CERTIFICATE
04061661 05 NY
institution
Provider Business Practice Location Address Details
Address
555 Saint Josephs Blvd
City
Elmira
State
New York
Zip
14901-3223
Phone Number
607-737-7002
Fax Number
607-737-1529
person
Provider Business Mailing Address Details
Address
555 Saint Josephs Blvd
City
Elmira
State
New York
Zip
14901-3223
Phone Number
607-737-7002
Fax Number
607-737-1529
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
38473 (Iowa)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
38473 (Iowa)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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