Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 206484 | NY |
N | 207RP1001X | Pulmonary Disease | 206484 | NY |
Y | 207RS0012X | Sleep Medicine | 137901 | NY |
NPI | 1083684708 |
---|---|
Provider Name | Dr. Klaus-Dieter K Lessnau |
First Address | New York, NY 10003-4243 |
Second Address | New York, NY 10003-4243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01872917 | (05) | NY |
206484 | LICENSE (01) | NY |
BL5178973 | DEA# (01) | NY |
G36093 | (02) | NY |