Organization
AGF PSYCHOLOGIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM FORMAL PHD (FOUNDER)
(332) 910-8700
Entity
Organization
Contact information
Practice address
303 5TH AVE RM 1507, NEW YORK, NY 10016-6656
(332) 910-8700
Mailing address
303 5TH AVE RM 1507, NEW YORK, NY 10016-6656
(332) 910-8700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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