Subject Numbers Regarding Health Provider Authorizations

Authorization No. C02910-0W

September 17, 2018

Please be advised that Dr. James A. Spina, II has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective September 13, 2018. Dr. Spina’s last known practice address is:

21 Mill Street
Liberty, New York 12754

Dr. Spina is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Spina for services rendered prior to September 13, 2018 are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Spina for services rendered prior to September 13, 2018 should not be denied due to his resignation.

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