Provider Demographics
NPI:1033914874
Name:CDJR CONSULTING LLC
Entity type:Organization
Organization Name:CDJR CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFOURNOY
Authorized Official - Suffix:JR
Authorized Official - Credentials:NP
Authorized Official - Phone:929-312-1468
Mailing Address - Street 1:360 NEW DORP LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3035
Mailing Address - Country:US
Mailing Address - Phone:718-814-7797
Mailing Address - Fax:
Practice Address - Street 1:360 NEW DORP LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3035
Practice Address - Country:US
Practice Address - Phone:718-814-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine