LARRY BLACKMORE

BROOKLYN, NY
NPI1427296227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy281P00000X Chronic Disease Hospital
(Licence: NY  007277)
Enumeration Date2009-02-02
Last Update Date2009-02-02
Business Address
-- LARRY BLACKMORE pa
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-8444
Mailing Address
-- LARRY BLACKMORE pa
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-8444
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