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
Mailing address3020 Bailey Ave, Buffalo, NY 14215-2814

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