Subject Numbers Regarding Health Provider Authorizations

Authorization No. 229564-0W

May 7, 2013

Please be advised that Dr. Ramin Rak's authorization to treat injured workers in the New York State workers' compensation system has been suspended indefinitely effective March 5, 2013. Dr. Rak's last known business address is 353 Veteran's Memorial Highway, Commack, New York, 11725.

Dr. Rak is prohibited from rendering treatment and care to injured workers while his authorization is suspended. Reports submitted by Dr. Rak for services rendered prior to March 5, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Rak for services rendered prior to March 5, 2013, should not be denied due to the suspension of his authorization.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.