Mr. Samuel Austin Formanek is a New York, New York based counselor who is specialized as Mental Health Counselor. Active license number of Mr. Samuel Austin Formanek is P107181 for Mental Health Counselor in New York. His current practice location is 248 W 108th St, New York. Patients can book an appointment with him at 212-663-3000.
Mr. Samuel Austin Formanek is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. Samuel Austin Formanek speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Samuel Austin Formanek
Specialization:
Mental Health Counselor
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
248 W 108th St, New York, New York, 10025-2956
Phone:
212-663-3000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811595259
NPI Enumeration Date:
16 Oct, 2020
NPI Last Update On:
27 Nov, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Samuel Austin Formanek are as mentioned below.
License Number
Specialization
State
Status
P107181
Mental Health Counselor
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Samuel Austin Formanek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P107181
Other
New York
NY STATE LICENSE PERMIT
P107181
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
41 Corell Rd, Scarsdale, New York
Zip:
10583-7448
Phone Number:
191-484-4297
Patients can reach Mr. Samuel Austin Formanek at 248 W 108th St, New York, New York or can call to book an appointment on 212-663-3000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.