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

Charles J Lilly III, MD

Individual provider Psychiatry Physician · NPI 1639265721

Charles J Lilly III, MD is a Psychiatry Physician in Penn Yan, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

418 N Main St
Penn Yan, NY 14527-1070
Phone: (315) 531-2292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 221109 (NY)

Record details

NPI number1639265721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESSeptember 20, 2007
Mailing address418 N Main St, Inpatient Behavorial Health, Penn Yan, NY 14527-1070

Other providers in Penn Yan