Lawrence Wine, MD | |
129 Slosson Ave, Staten Island, NY 10314-2522 | |
(718) 226-2000 | |
Not Available |
Full Name | Lawrence Wine |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 129 Slosson Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114925013 | NPI | - | NPPES |
00188256 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 159728-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wine Anesthesia, Llc | 4688769094 | 3 |
Entity Name | Wine Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407984255 PECOS PAC ID: 4688769094 Enrollment ID: O20090323000047 |
Mailing Address | Practice Location Address |
---|---|
Lawrence Wine, MD Po Box 120223, Staten Island, NY 10312-0223 Ph: (718) 663-9251 | Lawrence Wine, MD 129 Slosson Ave, Staten Island, NY 10314-2522 Ph: (718) 226-2000 |
David K Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Dr. Michael Costes, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 375 Seguine Ave, Staten Island, NY 10309 Phone: 718-226-2000 | |
Carlos Alcala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2000 | |
Dr. M. Joycelynne Y. Tecson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2348 Richmond Rd, Staten Island, NY 10306 Phone: 718-987-3338 Fax: 718-667-3043 | |
Dr. Robert Walter Bohnenberger, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3298 | |
Dr. Shasky Kevin Charles, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1298 Richmond Rd, Staten Island, NY 10304 Phone: 203-676-9195 | |
Vadim Roytenberg, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2000 |