Provider Demographics
NPI:1841578903
Name:FDNY CSU
Entity Type:Organization
Organization Name:FDNY CSU
Other - Org Name:WTC MEDICAL MONITORING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEER COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:GETTENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-570-1693
Mailing Address - Street 1:251 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4067
Mailing Address - Country:US
Mailing Address - Phone:212-570-1693
Mailing Address - Fax:212-431-1731
Practice Address - Street 1:251 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4067
Practice Address - Country:US
Practice Address - Phone:212-570-1693
Practice Address - Fax:212-431-1731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-23
Last Update Date:2011-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty