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1871224493
BESIM DIZDAREVIC
UTICA, NY
NPI
1871224493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 031083)
Enumeration Date
2022-06-23
Last Update Date
2024-04-25
Business Address
BESIM DIZDAREVIC
111 HOSPITAL DR
UTICA, NY 13502-2517
Phone number: 315-601-8959
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Mailing Address
BESIM DIZDAREVIC
6515 BRIAN ST
MARCY, NY 13403-2625
Phone number: 315-601-8959
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