Individual
JOHNY DOMINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
250 W 57TH ST, SUITE 501 NATIONAL INSTITUTE FOR PSYCHOTHERAPIES, NEW YORK, NY 10107-0001
(212) 582-1566
Mailing address
143 E 43RD ST, NEW YORK, NY 10017-4007
(516) 637-1619
(212) 370-5791
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
P79437
NY
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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