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NPI Code Detail

MEDICARE: ABEDIN MEHMEDOVIC

MEDICARE: ABEDIN MEHMEDOVIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse658886NY

General Provider Information

NPI Number : 1861351983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABEDIN MEHMEDOVIC
Provider Business Mailing Address
First Line : 820 JAY ST
Second Line :
City : UTICA
State : NY
Zip : 13501-1416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N JAMES ST
Second Line :
City : ROME
State : NY
Zip : 13440-2844
Country : US
Telephone Number : 315-338-7035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ ABEDIN MEHMEDOVIC ” Practice Location

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