Healthcare Provider Details

I. General information

NPI: 1043944291
Provider Name (Legal Business Name): VERONICA GORELIK AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BROOK ST
SCARSDALE NY
10583-5143
US

IV. Provider business mailing address

111 BROOK ST
SCARSDALE NY
10583-5143
US

V. Phone/Fax

Practice location:
  • Phone: 914-395-3277
  • Fax: 914-395-3270
Mailing address:
  • Phone: 914-395-3277
  • Fax: 914-395-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number003101
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number14000068730
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: