1972718708 NPI number — RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.

Table of content: (NPI 1972718708)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972718708 NPI number — RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESEARCH FOUNDATION OF STATE UNIVERSITY OF N.Y.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972718708
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 BROAD ST.
Provider Second Line Business Mailing Address:
SIBLEY 227
Provider Business Mailing Address City Name:
PLATTSBURGH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12901-2681
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-564-3377
Provider Business Mailing Address Fax Number:
518-564-2328

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 BROAD ST.
Provider Second Line Business Practice Location Address:
SIBLEY HALL 227
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-2681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-564-3377
Provider Business Practice Location Address Fax Number:
518-564-2328
Provider Enumeration Date:
05/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SIMPSON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
EDWIN
Authorized Official Title or Position:
DIRECTOR, SPONSORED RESEARCH & PROG
Authorized Official Telephone Number:
518-564-2155

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  015955 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X , with the licence number: 015955 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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