Individual
BESIM DIZDAREVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 601-8959
Mailing address
6515 BRIAN ST, MARCY, NY 13403-2625
(315) 601-8959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031083
NY
Other
Enumeration date
06/23/2022
Last updated
04/25/2024
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