Subject Numbers Regarding Health Provider Authorizations

Authorization No. 203320-7W

December 23, 2020

Please be advised that Dr. Michael Diaz has resigned his authorization to treat injured workers in the New York State workers' compensation system effective December 18, 2020. Dr. Diaz's last known practice addresses are:

Oswego Healthcare Fulton Medical Center
110 West 6th Street
Oswego, New York 13126

Oneonta Specialty Services
1 Associate Drive
Oneonta, New York 13820

1 Foxcare Drive
Oneonta, New York 13820

and

39 Pearl Street
Sidney, New York 13838

Dr. Diaz 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. Diaz for services rendered prior to December 18, 2020, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Diaz for services rendered prior to December 18, 2020, 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.