W-9 FORM REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION

Biometrics Research Department
New York State Psychiatric Institute
1051 Riverside Drive - Unit 60
New York, NY 10032

The following information is for Biometrics Research, Trustees of Columbia University in the City of New York:

Taxpayer Identification Number (TIN): 13-5598093
Dun & Bradstreet number (DUNS): 62-188-9815

Select here to print a copy of the W-9 Form.

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