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Individual
STEPHEN FORMANOWICZ
Active
Individual
STEPHEN FORMANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225X00000X
Occupational Therapist
Primary
029336-01
NY
Other
Enumeration date
07/13/2022
Last updated
06/23/2026
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