MEDICARE: AMY SUMBRUM SLP

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	235Z00000X	Speech-Language Pathologist	013794	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316039944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY SUMBRUM SLP

Provider Business Mailing Address
First Line	:	6590 E QUAKER RD
Second Line	:	BUILDING 1, LOWER
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1236
Country	:	US
Telephone Number	:	716-608-3366
Fax Number	:	716-322-2566

Provider Business Practice Location Address
First Line	:	131 ORCHARD PARK RD
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-2615
Country	:	US
Telephone Number	:	716-608-3366
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/11/2025

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Directions to “ AMY SUMBRUM SLP” Practice Location

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