Organization
NICOM THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID SZYMANSKI PHD (CEO)
(415) 913-9332
Entity
Organization
Contact information
Practice address
1269 PEABODY LN, EMERYVILLE, CA 94608-1113
(415) 913-9332
Mailing address
1269 PEABODY LN, EMERYVILLE, CA 94608-1113
(415) 913-9332
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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