LAWRENCE WINE

STATEN ISLAND, NY
NPI1114925013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  159728-1)
Enumeration Date2005-07-13
Last Update Date2021-04-21
Business Address
LAWRENCE WINE MD
129 SLOSSON AVE
STATEN ISLAND, NY 10314-2522
Phone number: 718-226-2000
Mailing Address
LAWRENCE WINE MD
PO BOX 120223
STATEN ISLAND, NY 10312-0223
Phone number: 718-663-9251
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