Blackmore, Larry

Blackmore, Larry is an sole proprietor health care provider with primary practice located at 121 Dekalb Ave , Brooklyn NY 11201-5425. He recently has only one registered license in Hospitals / Chronic Disease Hospital, which is considered as his primary health care specialty. Blackmore, Larry can be contacted via phone (718) 250-8444.

Contact Information

Primary practice address
121 Dekalb Ave Brooklyn NY 11201-5425
Phone: (718) 250-8444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Chronic Disease Hospital 281P00000X 007277 New York

Profile Details

NPI number 1427296227
LBN Legal business name Blackmore, Larry
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2009
Last updated Feb 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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