Individual
DOLORES A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
414 UNION ST, SCHENECTADY, NY 12305-1118
(518) 374-5353
(518) 374-8234
Mailing address
414 UNION ST, ATTN: HUMAN RESOURCES, SCHENECTADY, NY 12305-1118
(518) 374-5353
(518) 377-2517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331131-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360014-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330F331131
—
NY
01
—
346854
MVP
NY
Enumeration date
10/19/2006
Last updated
09/11/2025
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