Subject Numbers Regarding Health Provider Authorizations

Authorization No. 125730-2W

June 21, 2018

Pursuant to Workers' Compensation Law Section 13-d(5), the Chair of the New York State Workers' Compensation Board has exercised her authority to revoke Dr. Avelino Rosales’ authorization to treat injured workers in the New York State workers’ compensation system effective June 21, 2018. Dr. Rosales’ last known business address is:

23 White Drive
Cedarhurst, New York 11516

The revocation is based upon Consent Order (BPMC No. 18-129), issued by the New York State Department of Health, State Board for Professional Medical Conduct (BPMC), effective June 11, 2018, which found that Dr. Rosales committed professional misconduct as described in Education Law §6530(9)(a)(i) due to his misdemeanor conviction of tax fraud in violation of New York Tax Law §1801(a).

Dr. Rosales is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Rosales for services rendered prior to June 21, 2018 are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Rosales for services rendered prior to June 21, 2018, should not be denied due to the revocation of his authorization.

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