Larry Blackmore, PA

NPI #1427296227 in Brooklyn, New York

Provider Information

NPI Number: 1427296227
Entity Type: Individual
Name: Larry Blackmore, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chronic Disease Hospital
Credential: PA
Enumeration Date: Feb 2, 2009
Last Updated: Feb 2, 2009

Practice Location

Address: 121 DEKALB AVE
City: Brooklyn
State: New York
ZIP Code: 11201-5425
Phone: (718) 250-8444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chronic Disease Hospital	281P00000X	Primary

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