Individual
LYDIA MARIE WISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
665 ELM ST, BUFFALO, NY 14203-1104
(716) 341-5504
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
312201-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
312201-01
NY
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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