Individual
JUNIE DOMINIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6558
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6645
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405631
NY
Other
Enumeration date
07/17/2024
Last updated
03/13/2026
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