Mr. Samuel Austin Formanek
Mr. Samuel Austin Formanek is a Mental Health Counselor in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
248 W 108th StNew York, NY 10025-2956
Phone: (212) 663-3000
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence P107181 (NY) |
|---|
Record details
| NPI number | 1811595259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2020 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | October 13, 2020 |
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