Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicky Diann Wideman

Individual provider Health Maintenance Organization · NPI 1932280203

Vicky Diann Wideman is a Health Maintenance Organization in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

3020 Bailey Ave
Buffalo, NY 14215-2814
Phone: (716) 833-3622
Fax: (716) 834-4557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence 101YA0400X (NY)

Record details

NPI number1932280203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

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