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

Lawrence Wine, MD

Individual provider Anesthesiology Physician · NPI 1114925013

Lawrence Wine, MD is an Anesthesiology in Staten Island, New York. Graduated from State University of New York Downstate Medical Center in 1983, 43 years ago. Practices with Wine Anesthesia LLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
43
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

129 Slosson Ave
Staten Island, NY 10314-2522
Phone: (718) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 159728-1 (NY)

Record details

NPI number1114925013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1983 (43 years in practice)
Group practice Wine Anesthesia Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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