Subject Numbers Regarding Health Provider Authorizations

Authorization No. 224755-9B

April 24, 2018

Pursuant to Workers' Compensation Law Section 13-d(4), the Chair of the New York State Workers' Compensation Board (“Chair”) exercised her authority to revoke Dr. Ashraf Salem’s authorization to perform independent medical examinations effective September 18, 2012, and temporarily suspended his authorization to treat injured workers in the New York State workers’ compensation system effective November 21, 2012, based upon a Consent Agreement and Order between Dr. Salem and the New York State Department of Health, Board for Professional Medical Conduct.

Upon receipt of documents attesting to Dr. Ashraf’s successful completion of the probationary period provided for in the said Consent Agreement, the Chair has rescinded the revocation and temporary suspension of Dr. Ashraf’s authorizations and has reinstated his authority to treat injured workers and to perform independent medical examinations effective April 24, 2018. The Medical Director’s Office will restore Dr. Ashraf to the list of providers authorized to treat injured workers and perform independent medical examinations by April 24, 2018.

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