Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry Blackmore, PA

Individual provider Chronic Disease Hospital · NPI 1427296227

Larry Blackmore, PA is a Chronic Disease Hospital in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone: (718) 250-8444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chronic Disease Hospital (primary) Taxonomy 281P00000X · Licence 007277 (NY)

Record details

NPI number1427296227
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 2, 2009
Last updated in NPPESFebruary 2, 2009
Mailing address121 Dekalb Ave, Brooklyn, NY 11201-5425

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