Individual
AMY SARAH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9883
(716) 871-9887
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9883
(716) 871-9887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58023952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447283882
—
NY
01
—
GROUP AA0040
MEDICARE
NY
Enumeration date
06/24/2015
Last updated
06/24/2015
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