The calculated distance (air line) between Medzilaborce and Spišská Nová Ves is approximately 65 miles respectively 104 kilometers.
By car or train, the actual journey to Spišská Nová Ves is certainly longer, as only the direct route (as the crow flies) between Medzilaborce and Spišská Nová Ves has been calculated here.
Air line (approximately)
104 kilometers
56 nautical miles