Idahosa, Victor Omamode

Idahosa, Victor Omamode is an individual health care provider with primary practice located at 348 Broad St , Waverly NY 14892-1441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Idahosa, Victor Omamode can be contacted via phone (607) 821-2444.

Contact Information

Primary practice address
348 Broad St Waverly NY 14892-1441
Phone: (607) 821-2444
Fax: (607) 948-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 276514 New York

Profile Details

NPI number 1528226677
LBN Legal business name Idahosa, Victor Omamode
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated May 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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