Provider Demographics
NPI:1265317234
Name:SORNIK, MAX (LMSW)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:
Last Name:SORNIK
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 SEA CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-1240
Mailing Address - Country:US
Mailing Address - Phone:516-974-6505
Mailing Address - Fax:
Practice Address - Street 1:268 SEA CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1240
Practice Address - Country:US
Practice Address - Phone:516-974-6505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty