Organization
CL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY CHARUVASTRA MD (OWNER/PRESIDENT)
(646) 389-9871
Entity
Organization
Contact information
Practice address
200 PARK AVE S STE 1118B, NEW YORK, NY 10003-1537
(646) 389-4780
Mailing address
200 PARK AVE S STE 1118B, NEW YORK, NY 10003-1537
(646) 389-4780
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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