License holder summary

WALLACE DERRICK IBRAHIM is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACE DERRICK IBRAHIM is MIDDLETOWN NY. This doctor license is not current. The license was granted 11/24/1997.

New York

Office of the Professions

WALLACE DERRICK IBRAHIM
Medicine (Physician, Including M Ds & D Os)
License number
208988
Date granted
11/24/1997
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
MIDDLETOWN NY
nymedicine.org
ID 30305315
LAST UPDATED 2026-05-23 00:55:15 UTC

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