IndividualActive
Larry Blackmore, PA
NPI 1427296227 · Chronic Disease Hospital · Brooklyn, NY
Provider details
- NPI number
- 1427296227
- Entity type
- Individual
- Primary specialty
- Chronic Disease HospitalHospitals
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 007277 (NY)
Specialties & taxonomies
Hospitals
Practice location
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone: (718) 250-8444
Approximate (ZIP-level) locationGet directions
Mailing address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Registry dates
- Enumerated
- 2009-02-02
- Last updated
- 2009-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.