Individual provider · Type 1 NPI

Junie Dominique, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1083452668 Active

Practice location

1901 1st Ave
New York, NY 10029-7491

Call (212) 423-6558 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X405631 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1083452668

Junie Dominique, PMHNP-BC's National Provider Identifier is 1083452668, issued on Jul 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Mar 13, 2026.