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Individual

FEHID MEHIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6620 FLY RD, EAST SYRACUSE, NY 13057-9791
(315) 470-7111
Mailing address
6620 FLY RD, EAST SYRACUSE, NY 13057-9791

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
339771
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
402594
NY

Other

Enumeration date
09/29/2015
Last updated
08/03/2022
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