MEDICARE: DR. VERONICA GORELIK AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	14000068730	NY
2	231H00000X	Audiologist	003101	NY

General Provider Information

NPI Number	:	1043944291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERONICA GORELIK AU.D.

Provider Business Mailing Address
First Line	:	3225 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3225
Country	:	US
Telephone Number	:	347-946-6730
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	917-946-6730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2022
Last Update Date	:	08/17/2022

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