Dr. Ejiro Vivian Agboro-idahosa
M.D | Psychiatry | 31+ years Exp
555 Saint Josephs Blvd, Elmira
New York, 14901-3223
607-737-7002 607-737-1529
Maps & DirectionsDr. Ejiro Vivian Agboro-idahosa is a Elmira, New York based psychiatrist with 31 years of experience in Psychiatry. She completed her graduation in 1994. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ejiro Vivian Agboro-idahosa is 38473 for Child & Adolescent in Iowa. Her current practice location is 555 Saint Josephs Blvd, Elmira. Patients can reach her at 607-737-7002 or can fax her at 607-737-1529. Dr. Ejiro Vivian Agboro-idahosa is M.D in Psychiatry and her NPI number (Unique professional ID assigned by NPPES) is 1104089390.
Dr. Ejiro Vivian Agboro-idahosa 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.
Complete Profile:
Dr. Ejiro Vivian Agboro-idahosa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Ejiro Vivian Agboro-idahosa |
| Specialization: | Psychiatry |
| Gender: | Female |
| Credentials: | M.D |
| Experience: | 31+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1994 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 555 Saint Josephs Blvd, Elmira,
New York, 14901-3223 |
| Phone: | 607-737-7002 |
| Fax: | 607-737-1529 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1355495649 |
| Enrollment ID: | I20150617001896 |
| NPI Number: | 1104089390 |
| NPI Enumeration Date: | 08 Jul, 2008 |
| NPI Last Update On: | 08 Jun, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ejiro Vivian Agboro-idahosa are as mentioned below.
| License Number | Specialization | State | Status | |
| 38473 | Child & Adolescent | Iowa | Primary | |
| 38473 | Psychiatry | Iowa | Secondary | |
| 275859 | Psychiatry | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ejiro Vivian Agboro-idahosa is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Waverly Medical Associates Llc (0547589541) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ejiro Vivian Agboro-idahosa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 38473 | Other | Iowa | IOWA LICENSE |
| 275859 | Other | New York | STATE LICENSE |
| 1243767 | Other | Iowa | CONTROLLED SUBSTANCE CERTIFICATE |
| 04061661 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Ejiro Vivian Agboro-idahosa
571 Saint Josephs Blvd Fl 2,
Elmira, New York |
| Zip: | 14901-3230 |
| Phone Number: | 607-271-2050 |
Patients can reach Dr. Ejiro Vivian Agboro-idahosa at
555 Saint Josephs Blvd, Elmira, New York or can
call to book an appointment on 607-737-7002.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.