Provider Demographics
NPI:1912077124
Name:LESSER, IRIS K (MD)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:K
Last Name:LESSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RICHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2246
Mailing Address - Country:US
Mailing Address - Phone:718-430-3922
Mailing Address - Fax:718-430-3989
Practice Address - Street 1:FISHER LANDAU CENTER
Practice Address - Street 2:1165 MORRIS PARK AVE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-430-3922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153241208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics