Institutional Information

Party	New York University School of Medicine
Type of Organization	An administrative unit of New York University, a non-profit educational institution of the State of New York
Authorized organization representative and official signing for applicant organization	Jean M. Gatewood Director Phone: (212) 263-4211 Fax: (212) 263-4111 E-mail: clinicaltrials@nyumc.org New York University School of Medicine Office of Clinical Trials 550 First Avenue Bldg. VET 10W New York, NY 10016
Principal Investigator	Faculty Name (or investigator to serve as project correspondent if there are co-investigators)
Contract Contacts	Floyd Berry Phone: (212) 263-4209 Fax: (212) 263-4111 E-mail: Floyd.Berry@nyumc.org Susan Andersen Phone: (212) 263-4018 Fax: (212) 263-4111 E-mail: Susan.Shin.Andersen@nyumc.org New York University School of Medicine Office of Clinical Trials 550 First Avenue Bldg. VET 10W Room 10035W New York, NY 10016
Checks should be made payable to	New York University School of Medicine
Send checks to the attention of	NYU School of Medicine-Office of Clinical Trials PO Box 33450 Hartford, CT 06150-3450
Tax ID No. (TIN)	13-5562308