Subject Numbers Regarding Health Provider Authorizations

Authorization No. 169838-0W

February 22, 2019

Please be advised that Dr. Ofra Blonder has resigned her authorization to treat injured workers in the New York State workers’ compensation system effective February 19, 2019. Dr. Blonder’s last known practice address is:

Mid-Manhattan Medical, P.C.
100 Livingston Street, Brooklyn, New York 11201

Dr. Blonder is prohibited from rendering treatment and care to injured workers and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Blonder for services rendered prior to February 19, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Blonder for services rendered prior to February 19, 2019, should not be denied due to her resignation.

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