Provider Demographics
NPI:1083684708
Name:LESSNAU, KLAUS-DIETER K (MD)
Entity Type:Individual
Prefix:DR
First Name:KLAUS-DIETER
Middle Name:K
Last Name:LESSNAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4243
Mailing Address - Country:US
Mailing Address - Phone:212-481-3333
Mailing Address - Fax:212-253-4242
Practice Address - Street 1:332 E 14TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4243
Practice Address - Country:US
Practice Address - Phone:212-481-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206484207RC0200X, 207RP1001X
NY137901207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01872917Medicaid
NY206484OtherLICENSE
NYBL5178973OtherDEA#
NY15N911Medicare ID - Type Unspecified
NY206484OtherLICENSE