National Provider Identifier

Expression Time Medical

Expression Time Medical is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Niagara Falls, NY and a listed phone number of (716) 297-2052.

NPI 1861085391Niagara Falls, NYMental Health Counselor

Source: public NPPES record, last updated February 12, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1861085391
Provider Type
Organization
Primary Specialty
Mental Health Counselor
Enumeration Date
February 16, 2021
Last Updated
February 12, 2025

Practice Location

  • 3117 Military RD
  • Niagara Falls, NY 14304-4813

Phone: (716) 297-2052

Authorized Official

Name
Santanu Som
Title
Owner
Credentials
DO
Phone
(516) 661-5621

Specialties

  • Mental Health Counselor (101YM0800X)

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Full Record
NPI
1861085391
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Expression Time Medical
Mailing Street Address
3117 Military RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-4813
Mailing Country
US
Mailing Phone
(716) 257-1254
Mailing Fax
(716) 215-6170
Practice Street Address
3117 Military RD
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-4813
Practice Country
US
Practice Phone
(716) 297-2052
Enumeration Date
February 16, 2021
Last Updated
February 12, 2025
Authorized Official Last Name
Som
Authorized Official First Name
Santanu
Authorized Official Title
Owner
Authorized Official Phone
(516) 661-5621
Organization Subpart
No
Authorized Official Credential Text
DO
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
February 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)