License holder summary

SHACK SUSAN AMALIA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SHACK SUSAN AMALIA is WESTPORT CT. This doctor license is current. The license was granted 03/02/1993 and expired on 06/30/2016.

New York

Office of the Professions

SHACK SUSAN AMALIA
Medicine (Physician, Including M Ds & D Os)
License number
191521
Date granted
03/02/1993
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WESTPORT CT
nymedicine.org
ID 30274574
LAST UPDATED 2024-04-26 09:54:42 UTC

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