Individual
DAVID F ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
87 PLAZA BLVD, PLATTSBURGH, NY 12901-6438
(518) 536-7060
(518) 536-7075
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
299191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05763135
—
NY
Enumeration date
05/12/2016
Last updated
03/13/2026
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