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Organization
SOM MEDICAL PRACTICE PLLC
Active
Organization
SOM MEDICAL PRACTICE PLLC
Active
Other names
Niagara Falls Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SANTANU SOM D.O. (PHYSICIAN/PRESIDENT)
(516) 661-5621
Entity
Organization
Contact information
Practice address
3117 MILITARY RD STE 1, NIAGARA FALLS, NY 14304-4813
(716) 257-1254
Mailing address
7332 ROCHESTER RD, LOCKPORT, NY 14094-1628
(516) 661-5621
(855) 409-5577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QU0200X
Urgent Care Clinic/Center
242962
NY
Other
Enumeration date
10/05/2017
Last updated
09/04/2024
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