MEDICARE: MRS. AMY GRAILER M.S. CCC-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	033437-01	NY

General Provider Information

NPI Number	:	1831499946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY GRAILER M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	100 EATON RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-1620
Country	:	US
Telephone Number	:	314-420-6884
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 LONG POND RD STE 4
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-1111
Country	:	US
Telephone Number	:	585-360-2155
Fax Number	:

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

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	03/02/2026

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Directions to “ MRS. AMY GRAILER M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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