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Contact Information

ELLAMARIE B RUSSO DEMARA, DO
220 TOM MILLER RD.
PLATTSBURGH, NY12901
 Phone: 518-562-2009
 Fax: 518-561-2119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ELLAMARIE B RUSSO DEMARA · (Female)

NPI # 1245243112
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/14/2006
Last updated 03/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 0320000521
  • VT Medicaid VN3644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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