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1407984255
WINE ANESTHESIA, LLC
STATEN ISLAND, NY
NPI
1407984255
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Entity Type
Organization
Authorized Contact
LAWRENCE WINE
President
718-663-9251
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2007-03-02
Last Update Date
2021-04-23
Business Address
WINE ANESTHESIA, LLC
129 SLOSSON AVE
STATEN ISLAND, NY 10314-2522
Phone number: 718-720-5928
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Mailing Address
WINE ANESTHESIA, LLC
PO BOX 120223
STATEN ISLAND, NY 10312-0223
Phone number: 718-663-9251
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