Samuel Austin Formanek is a Mental Health Counselor based in Scarsdale, NY and is specialized in Mental Health. Samuel Austin Formanek practices in New York, NY. The NPI Number for Samuel Austin Formanek is 1811595259 and holds a License No. P107181 (New York).
The current practice location address for Samuel Austin Formanek is 248 W 108Th St, New York, NY and can be reached out via phone at 212-663-3000.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P107181 | 01 | NY | NY STATE LICENSE PERMIT |
| P107181 | 05 | NY |
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