License holder summary

WALLACH STACEY JILL is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACH STACEY JILL is TAPPAN NY. This doctor license is not current. The license was granted 01/06/1997.

New York

Office of the Professions

WALLACH STACEY JILL
Medicine (Physician, Including M Ds & D Os)
License number
205395
Date granted
01/06/1997
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
TAPPAN NY
nymedicine.org
ID 30305403
LAST UPDATED 2024-04-25 02:20:06 UTC

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