Provider Demographics
NPI:1023399631
Name:FDNY
Entity Type:Organization
Organization Name:FDNY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-999-2022
Mailing Address - Street 1:9 METROTECH CTR
Mailing Address - Street 2:WORLD TRADE CENTER PROGRAM, 2E-13
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5431
Mailing Address - Country:US
Mailing Address - Phone:718-999-1858
Mailing Address - Fax:718-999-0681
Practice Address - Street 1:9 METROTECH CTR
Practice Address - Street 2:WORLD TRADE CENTER PROGRAM, 2E-13
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5431
Practice Address - Country:US
Practice Address - Phone:718-999-1858
Practice Address - Fax:718-999-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty