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ADIRONDACK ORTHOPEDIC & SPORTS MEDICINE, P.C.

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Company Details

Name: ADIRONDACK ORTHOPEDIC & SPORTS MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Mar 2008 (17 years ago)
Entity Number: 3649664
ZIP code: 12561
County: St. Lawrence
Place of Formation: New York
Address: 1228 OLD FORD CIRCLE, NEW PALTZ, NY, United States, 12561

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DONALD HENLINE MD Chief Executive Officer 59 MAIN STREET, POTSDAM, NY, United States, 13676

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1228 OLD FORD CIRCLE, NEW PALTZ, NY, United States, 12561

National Provider Identifier

NPI Number:
1265683726

Authorized Person:

Name:
DR. DONALD W HENLINE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
262442799
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2010-05-13 2012-05-03 Address 59 MAIN STREET, SUITE 313, POTSDAM, NY, 13676, USA (Type of address: Principal Executive Office)
2008-03-26 2012-05-03 Address 59 MAIN STREET, POTSDAM, NY, 13676, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120503002241 2012-05-03 BIENNIAL STATEMENT 2012-03-01
100513002811 2010-05-13 BIENNIAL STATEMENT 2010-03-01
080326000381 2008-03-26 CERTIFICATE OF INCORPORATION 2008-03-26

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State