Individual
DR. ANTHONY CHARUVASTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PARK AVE S, SUITE 1118 B, NEW YORK, NY 10003-1503
(347) 586-0397
(646) 304-8412
Mailing address
200 PARK AVE S, SUITE 1118 B, NEW YORK, NY 10003-1503
(646) 389-9871
(662) 735-7492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
239735
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
239735
NY
Other
Enumeration date
04/13/2007
Last updated
03/08/2023
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