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 2024-02-05 19:16:27 UTC
LAST UPDATED 2024-02-05 19:16:27 UTC
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