Wilson, Dolores A

Wilson, Dolores A is an individual health care provider with primary practice located at 414 Union St , Schenectady NY 12305-1118. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Dolores A can be contacted via phone (518) 374-5353.

Contact Information

Primary practice address
414 Union St Schenectady NY 12305-1118
Phone: (518) 374-5353
Fax: (518) 374-8234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331131-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360014-1 New York

Profile Details

NPI number 1619059680
LBN Legal business name Wilson, Dolores A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619059680 NPPES
New York Other 346854 MVP
New York MEDICAID 0330F331131 MVP

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