National Provider Identifier
Charles J Lilly III, M.D.
Charles J Lilly III, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Penn Yan, NY and a listed phone number of (315) 531-2292.
Source: public NPPES record, last updated September 20, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1639265721
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- October 05, 2006
- Last Updated
- September 20, 2007
Practice Location
- 418 N Main St
- Penn Yan, NY 14527-1070
Phone: (315) 531-2292
Mailing Address
- 418 N Main St
- Inpatient Behavorial Health
- Penn Yan, NY 14527-1070
Specialties
- Psychiatry Physician (2084P0800X)
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Biography
Charles J. Lilly III, MD, is a board-certified psychiatrist practicing in Penn Yan, New York. He earned his medical degree from the University of Alabama School of Medicine, completed an internal medicine internship at the University of Alabama Medical Center, and went on to complete his psychiatry residency at NewYork-Presbyterian Hospital/Cornell. That training path, spanning both internal medicine and psychiatry, is a distinguishing part of his professional background.
Full Record
- NPI
- 1639265721
- Entity Type
- Individual
- Last Name
- Lilly
- First Name
- Charles
- Middle Name
- J
- Name Suffix
- III
- Credential
- M.D.
- Mailing Street Address
- 418 N Main St
- Mailing Address Line 2
- Inpatient Behavorial Health
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1070
- Mailing Country
- US
- Practice Street Address
- 418 N Main St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1070
- Practice Country
- US
- Practice Phone
- (315) 531-2292
- Enumeration Date
- October 05, 2006
- Last Updated
- September 20, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)