Individual
DR. ELLAMARIE B RUSSO-DEMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
220 TOM MILLER RD., PLATTSBURGH, NY 12901
(518) 562-2009
(518) 561-2119
Mailing address
P.O. BOX 37, SHARON, VT 05065
(609) 218-9447
(802) 728-2394
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0320000521
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VN3644
—
VT
Enumeration date
08/14/2006
Last updated
03/16/2023
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