| Jonathan Loomis | |
|
2 South St 204 Auburn NY 13021-3833 | |
| (315) 252-6978 | |
| Not Available |
| Full Name | Jonathan Loomis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 South St, Auburn, New York |
| Authorized Official Name and Position | Jonathan Snyder Loomis (CLINICAL THERAPIST) |
| Authorized Official Contact | 3152526978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Loomis 2 South Street 204 Auburn NY 13021-3833 Ph: (315) 252-6978 | Jonathan Loomis 2 South St 204 Auburn NY 13021-3833 Ph: (315) 252-6978 |
| NPI Number | 1568749968 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568749968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R054031-1 (New York) | Primary |
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