Lydia Marie Wishman
Lydia Marie Wishman is a Nurse Practitioner in Buffalo, New York. Qualified in 2025, 1 year ago. Practices with Roswell Park Cancer Institute, a 489-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
665 Elm StBuffalo, NY 14203-1104
Phone: (716) 341-5504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- Elm And Carlton St, Buffalo, NY 14263-0001 — (716) 845-2300
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 312201-01 (NY) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 312201-01 (NY) |
Record details
| NPI number | 1275498628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2025 |
| Last updated in NPPES | December 18, 2025 |
| Certification date | December 18, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Roswell Park Cancer Institute — 489 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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