Provider Demographics
NPI:1013010388
Name:GORSKI-SUHR, CHERI A (RPAC)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:A
Last Name:GORSKI-SUHR
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HILL VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1054
Mailing Address - Country:US
Mailing Address - Phone:716-634-3243
Mailing Address - Fax:716-634-1930
Practice Address - Street 1:825 WEHRLE DRIVE
Practice Address - Street 2:CARDIOLOGY GROUP OF WESTERN NEW YORK,PC
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-634-3243
Practice Address - Fax:716-634-1930
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005774-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC0868Medicare ID - Type Unspecified