EJIRO V. AGBORO-IDAHOSA M.D – NPI #1104089390
Psychiatry & Neurology
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.
EJIRO AGBORO-IDAHOSA is a psychiatry & neurologist located in ELMIRA, NY. NPPES has assigned the NPI number 1104089390 to EJIRO AGBORO-IDAHOSA on July 08, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name EJIRO VIVIAN AGBORO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry
The NPI profile was previously updated about 10 years ago on Jun 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EJIRO AGBORO-IDAHOSA below.
NPI Profile for
EJIRO V. AGBORO-IDAHOSA
(about 18 years ago)
ELMIRA, NY 14901-3223 Phone: (607) 737-7002 Fax: (607) 737-1529
ELMIRA, NY 14901-3230 Phone: (607) 271-2050 Fax:
Identifiers for EJIRO AGBORO-IDAHOSA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CONTROLLED SUBSTANCE CERTIFICATE | IA | 1243767 |
| OTHER | IOWA LICENSE | IA | 38473 |
| OTHER | STATE LICENSE | NY | 275859 |
| MEDICAID | NY | 04061661 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084P0804X - Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary) |
IA | 38473 |
| 2084P0800X - Psychiatry & Neurology / Psychiatry |
IA | 38473 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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