Organization
MOHAWK VALLEY RETINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA GIFFORD (OFFICE ADMINISTRATOR)
(315) 732-0995
Entity
Organization
Contact information
Practice address
4350 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5345
(315) 732-0995
(315) 732-0689
Mailing address
83 GENESEE ST, NEW HARTFORD, NY 13413-2334
(315) 732-0995
(315) 732-0689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
208523
NY
207W00000X
Ophthalmology Physician
Primary
223258
NY
Other
Enumeration date
08/09/2006
Last updated
02/20/2019
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