License holder summary

WALLACK MICHAEL SAMUEL is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACK MICHAEL SAMUEL is TARZANA CA. This doctor license is not current. The license was granted 09/19/2007.

New York

Office of the Professions

WALLACK MICHAEL SAMUEL
Medicine (Physician, Including M Ds & D Os)
License number
246172
Date granted
09/19/2007
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
TARZANA CA
nymedicine.org
ID 30305413
LAST UPDATED 2026-04-24 15:48:47 UTC

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