Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wine Anesthesia, LLC

Organization Anesthesiology Physician · NPI 1407984255

Wine Anesthesia, LLC is an Anesthesiology Physician in Staten Island, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 Slosson Ave
Staten Island, NY 10314-2522
Phone: (718) 720-5928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1407984255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Wine — President · (718) 663-9251
NPI enumeratedMarch 2, 2007
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing addressPo Box 120223, Staten Island, NY 10312-0223

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