Provider Demographics
NPI:1285070516
Name:THE RESEARCH FOUNDATION FOR SUNY AT BINGHAMTON
Entity type:Organization
Organization Name:THE RESEARCH FOUNDATION FOR SUNY AT BINGHAMTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE VICE PRESIDENT, RESEAR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:CRA
Authorized Official - Phone:607-777-6755
Mailing Address - Street 1:PO BOX 6000
Mailing Address - Street 2:SPONSORED FUNDS ADMINISTRATION
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13902-6000
Mailing Address - Country:US
Mailing Address - Phone:607-777-6136
Mailing Address - Fax:607-777-4354
Practice Address - Street 1:4400 VESTAL PARKWAY EAST
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-0000
Practice Address - Country:US
Practice Address - Phone:607-777-6136
Practice Address - Fax:607-777-4354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency