Individual
DR. DOMINIQUE MORISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CPSYCH
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 17TH FLOOR (SOUTH), NEW YORK, NY 10025-1737
(212) 523-2596
(212) 523-3642
Mailing address
442 5TH AVE # 2275, NEW YORK, NY 10018-2794
(855) 649-2150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
018327
NY
103TC0700X
Clinical Psychologist
Primary
018327
NY
Other
Enumeration date
10/09/2009
Last updated
05/16/2023
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