SAMUEL AUSTIN FORMANEK

NEW YORK, NY
NPI1811595259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  P107181)
Enumeration Date2020-10-16
Last Update Date2023-11-27
Business Address
Mr. SAMUEL AUSTIN FORMANEK
248 W 108TH ST
NEW YORK, NY 10025-2956
Phone number: 212-663-3000
Mailing Address
Mr. SAMUEL AUSTIN FORMANEK
41 CORELL RD
SCARSDALE, NY 10583-7448
Phone number: 191-484-4297
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