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1114925013
LAWRENCE WINE
STATEN ISLAND, NY
NPI
1114925013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 159728-1)
Enumeration Date
2005-07-13
Last Update Date
2021-04-21
Business Address
LAWRENCE WINE MD
129 SLOSSON AVE
STATEN ISLAND, NY 10314-2522
Phone number: 718-226-2000
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Mailing Address
LAWRENCE WINE MD
PO BOX 120223
STATEN ISLAND, NY 10312-0223
Phone number: 718-663-9251
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