Subject Numbers Regarding Health Provider Authorizations

Authorization No. 207786-5W

May 13, 2019

Please be advised that Dr. Andrew S. Rudin has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective May 9, 2019. Dr. Rudin’s last known practice addresses are:

1000 East Genesee Street, Suite 300
Syracuse, New York 13210

and

33 East Schuyler Street
Oswego, New York 13126

Dr. Rudin 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. Rudin for services rendered prior to May 9, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Rudin for services rendered prior to May 9, 2019, 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.