Healthcare Provider Details

I. General information

NPI: 1720084692
Provider Name (Legal Business Name): DEBRA SKORNEY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 MAMARONECK AVE BLDG 4
WHITE PLAINS NY
10605-2523
US

IV. Provider business mailing address

6 KENILWORTH TER
GREENWICH CT
06830-4714
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-0034
  • Fax:
Mailing address:
  • Phone: 203-862-9504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000600-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number000600-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number000600-1
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000006013
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: