Individual
PATRICK LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(617) 636-5000
Mailing address
184 CORNELL ST APT 1, ROSLINDALE, MA 02131-4103
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2305986
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
125366
NY
Other
Enumeration date
06/09/2017
Last updated
09/03/2025
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