Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cl Medicine PLLC

Organization Child & Adolescent Psychiatry Physician · NPI 1679273676

Cl Medicine PLLC is a Child & Adolescent Psychiatry Physician in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Park Ave S Ste 1118B
New York, NY 10003-1537
Phone: (646) 389-4780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1679273676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Charuvastra — Owner/President · (646) 389-9871
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address200 Park Ave S Ste 1118b, New York, NY 10003-1537

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