National Provider Identifier
Vicky Diann Wideman
Vicky Diann Wideman is listed in the NPPES registry with a primary specialty of Health Maintenance Organization in Buffalo, NY and a listed phone number of (716) 833-3622.
Profile Overview
- NPI
- 1932280203
- Provider Type
- Individual
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- October 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 833-3622
Specialties
- Health Maintenance Organization (302R00000X)
Full Record
- NPI
- 1932280203
- Entity Type
- Individual
- Last Name
- Wideman
- First Name
- Vicky
- Middle Name
- Diann
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Mailing Phone
- (716) 833-3622
- Mailing Fax
- (716) 834-4557
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 833-3622
- Practice Fax
- (716) 834-4557
- Enumeration Date
- October 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Health Maintenance Organization (302R00000X)