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ADIRONDACK PEDIATRICS P.C.

Company Details

Name: ADIRONDACK PEDIATRICS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 May 1989 (36 years ago)
Entity Number: 1354716
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 84 BROAD ST LAAKSO BLDG, GLEN FALLS, NY, United States, 12801

Contact Details

Phone +1 518-798-9538

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR. MARY NEVINS Chief Executive Officer 84 BROAD ST LAAKSO BLDG, GLEN FALLS, NY, United States, 12801

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 84 BROAD ST LAAKSO BLDG, GLEN FALLS, NY, United States, 12801

National Provider Identifier

NPI Number:
1285667634

Authorized Person:

Name:
DR. JOHN C. BRAICO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5187989576

Form 5500 Series

Employer Identification Number (EIN):
141720602
Plan Year:
2023
Number Of Participants:
38
Sponsors Telephone Number:

History

Start date End date Type Value
2011-05-25 2015-06-09 Address 84 BROAD ST LAAKSO BLDG, GLEN FALLS, NY, 12801, USA (Type of address: Chief Executive Officer)
1992-12-03 2011-05-25 Address THE LAAKSO BUILDING, 84 BROAD STREET, GLENS FALLS, NY, 12801, USA (Type of address: Chief Executive Officer)
1992-12-03 2011-05-25 Address THE LAAKSO BUILDING, 84 BROAD STREET, GLENS FALLS, NY, 12801, USA (Type of address: Principal Executive Office)
1992-12-03 2011-05-25 Address THE LAAKSO BUILDING, 84 BROAD STREET, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
1991-05-17 1992-12-03 Address 84 BROAD STREET, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150609006101 2015-06-09 BIENNIAL STATEMENT 2015-05-01
130507006719 2013-05-07 BIENNIAL STATEMENT 2013-05-01
110525003386 2011-05-25 BIENNIAL STATEMENT 2011-05-01
090424002430 2009-04-24 BIENNIAL STATEMENT 2009-05-01
070510003211 2007-05-10 BIENNIAL STATEMENT 2007-05-01

Date of last update: 16 Mar 2025

Sources: New York Secretary of State