# MOHAWK VALLEY RETINA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972513273
- **Authorized official:** MRS. MELISSA GIFFORD (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (315) 732-0995

## Contact information

- **Practice address:** 4350 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5345
- **Practice address phone:** (315) 732-0995
- **Practice address fax:** (315) 732-0689
- **Mailing address:** 83 GENESEE ST, NEW HARTFORD, NY 13413-2334
- **Mailing address phone:** (315) 732-0995
- **Mailing address fax:** (315) 732-0689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 208523 | NY | — |
| 207W00000X | Ophthalmology Physician | 223258 | NY | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 02/20/2019