| | Physician Last Name: | Maselly |
| | Physician First Name: | Michael |
| | Physician Middle Name: | J. |
| | Address: | 621 West Genesee Street
Syracuse, NY 13204 |
| | License Number: | 162515 |
| | License Type: | MD |
| | Year of Birth: |
1949
|
| | Effective Date: | 07/31/2008 |
| | Action Description for DOH Webpage: | Permanent surrender of the physician's New York State medical license pursuant to New York State Public Health Law Section 230.13. |
| | Misconduct Description for DOH Webpage: | This order and change in medical license status is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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