PRO-FORM SPORTS MEDICINE, P.C. is an entity registered at SUFFOLK county with company number 1152842. PRO-FORM SPORTS MEDICINE, P.C. located at the address 290 E Main St Ste 700 Smithtown, New York, 11787. Company is incorporated on March 13, 1987. The Chief Executive Officer is Enrico S. Mango, M.d. Current status of the company is inactive - dissolution (jul 19, 2007).
| Company name | PRO-FORM SPORTS MEDICINE, P.C. |
|---|---|
| DOS ID # | 1152842 |
| Initial DOS Filing Date | March 13, 1987 |
| County | SUFFOLK |
|---|---|
| Jurisdiction | NEW YORK |
| Company Type | DOMESTIC PROFESSIONAL CORPORATION |
| Current Company Status | INACTIVE - Dissolution (Jul 19, 2007) |
| DOS Process |
PRO-FORM SPORTS MEDICINE, P.C. 290 E MAIN ST STE 700 SMITHTOWN, NEW YORK, 11787 |
|---|---|
| Chief Executive Officer | ENRICO S. MANGO, M.D. 290 EAST MAIN STREET SMITHTOWN, NEW YORK, 11787 |
| Principal Executive Office | STUART CHERNEY, M.D. 290 EAST MAIN STREET SMITHTOWN, NEW YORK, 11787 |
| # of Shares | Type of Stock | $ Value per Share |
|---|---|---|
| 200 | No Par Value |
| Filing Date | Name Type | Company Name |
|---|---|---|
| March 13, 1987 | Actual | PRO-FORM SPORTS MEDICINE, P.C. |