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Victor Omamode Idahosa, MD
Addiction Medicine (Internal Medicine) Physician in Waverly, New York
NPI 1528226677

Victor Omamode Idahosa is an Addiction Medicine (Internal Medicine) Physician based in Waverly, NY and is specialized in Addiction Medicine. Victor Omamode Idahosa practices in Waverly, NY and has the professional credentials of MD. The NPI Number for Victor Omamode Idahosa is 1528226677 and holds a License No. 276514 (New York).

The current practice location address for Victor Omamode Idahosa is 348 Broad St, Waverly, NY and can be reached out via phone at 607-821-2444 and via fax at 607-948-1030.

Location: 348 Broad St, Waverly, NY, 14892-1441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528226677
Provider Name
Victor Omamode Idahosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
348 Broad St, Waverly, NY, 14892-1441
Phone Number
607-821-2444
Fax Number
607-948-1030
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
348 Broad St
City
Waverly
State
New York
Zip
14892-1441
Phone Number
607-821-2444
Fax Number
607-948-1030
person
Provider Business Mailing Address Details
Address
348 Broad St
City
Waverly
State
New York
Zip
14892-1441
Phone Number
607-821-2444
Fax Number
607-948-1030
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
276514 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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