Individual
DOMINIQUE BURMESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 ASTOR AVE, BRONX, NY 10467-9304
(718) 518-9007
Mailing address
750 ASTOR AVE, BRONX, NY 10467-9304
(718) 518-9007
(347) 899-8057
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113422018
—
NY
Enumeration date
09/09/2019
Last updated
11/13/2025
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