WAVERLY MEDICAL ASSOCIATES LLC
Psychiatric at Broad St, Waverly, NY

License number
New York 276514
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New York 275859
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. VICTOR OMAMODE IDAHOSA M.D.
Title: OWNER
Phone: (607) 821-2444
Address
Address
348 Broad St, Waverly, NY 14892
National Provider ID: 1457757486
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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