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

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