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NORTH COUNTRY SPORTS MEDICINE, PLLC

Company Details

Name: NORTH COUNTRY SPORTS MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Mar 2001 (24 years ago)
Entity Number: 2616000
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 24 PINE STREET, GLENS FALLS, NY, United States, 12801

Contact Details

Phone +1 518-793-9156

DOS Process Agent

Name Role Address
NORTH COUNTRY SPORTS MEDICINE, PLLC DOS Process Agent 24 PINE STREET, GLENS FALLS, NY, United States, 12801

National Provider Identifier

NPI Number:
1013271550

Authorized Person:

Name:
LORI M BALDWIN
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5187936591

Form 5500 Series

Employer Identification Number (EIN):
141829741
Plan Year:
2018
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
43
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
39
Sponsors Telephone Number:

History

Start date End date Type Value
2005-03-18 2019-03-13 Address 25 WILLOWBROOK RD / SUITE 2, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)
2001-03-14 2005-03-18 Address 747 UPPER GLEN STREET, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210308061670 2021-03-08 BIENNIAL STATEMENT 2021-03-01
190313061038 2019-03-13 BIENNIAL STATEMENT 2019-03-01
170302006168 2017-03-02 BIENNIAL STATEMENT 2017-03-01
150316006301 2015-03-16 BIENNIAL STATEMENT 2015-03-01
130308006564 2013-03-08 BIENNIAL STATEMENT 2013-03-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State