Subject Numbers Regarding Health Provider Authorizations

Authorization No. 148049-0W

October 25, 2012

Please be advised that Dr. James Avellini's authorization to treat injured workers in the New York State workers' compensation system has been suspended indefinitely effective October 19, 2012.

Dr. Avellini is prohibited from rendering treatment and care to injured workers while his authorization is suspended. Reports submitted by Dr. Avellini for services rendered prior to October 19, 2012, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Avellini for services rendered prior to October 19, 2012, should not be denied due to the suspension of his authorization.

Any questions regarding the authorized lists should be referred to Health Provider Administration at 1 (800) 781-2362.