Subject Numbers Regarding Health Provider Authorizations

Authorization No. 184453-9B

July 16, 2019

Pursuant to Workers' Compensation Law (WCL) §§ 13-d(2)(a) and (d), the Chair of the New York State Workers' Compensation Board (Board) has exercised her authority to remove Dr. Charles William Episalla’s authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system effective July 13, 2019. Dr. Episalla's last known business addresses are:

30 Hatfield Lane, Suite 201
Goshen, New York 10924

201 Dolson Avenue, Suite 1
Middletown, New York 10940 and

39 Old Monticello Road, Suite 8
Ferndale, New York 12734

The Board’s investigation has concluded that Dr. Episalla knowingly made one or more false statements or misrepresentations of fact in testifying or otherwise providing information to the Board, in violation of WCL § 13-d(2)(d), and has committed professional misconduct in violation of WCL § 137(4) and 12 NYCRR § 300.2(d)(6)(v), and as defined in Education Law §§ 6530(11) and (25).

Dr. Episalla is prohibited from rendering treatment and care to injured workers, from performing independent medical examinations, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Episalla for services rendered prior to July 13, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Episalla for services rendered prior to July 13, 2019, should not be denied due to the removal of his authorizations.

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