Provider Demographics
NPI:1013986256
Name:CARRERAS-SUCHANICK, HELEN (DO)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:CARRERAS-SUCHANICK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 ALCONA AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2201
Mailing Address - Country:US
Mailing Address - Phone:716-834-1193
Mailing Address - Fax:
Practice Address - Street 1:19 LAKE SHORE DR W
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-1513
Practice Address - Country:US
Practice Address - Phone:716-363-6377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00026138803OtherUNIVERA
NY0111474OtherINDEPENDENT HEALTH
NY609263600OtherDEPARTMENT OF LABOR
P00161128OtherRAILROAD MEDICARE
000000088116OtherGHI
NY040804000009OtherFIDELIS
NY000526855003OtherBLUE CROSS
NY02367215Medicaid
NY000526855003OtherBLUE CROSS
NY02367215Medicaid