Individual
EHINOR EDMOND ISIDAHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1080 FIRST COLONIAL RD STE 403, VIRGINIA BEACH, VA 23454-2406
(757) 395-1850
Mailing address
7901 BROADWAY RM C10-12, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
326754
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
03/07/2025
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