Subject Numbers Regarding Health Provider Authorizations

Authorization No. 174738-5W

March 3, 2021

Pursuant to Workers' Compensation Law Section 13-d(2)(a), the Chair of the New York State Workers' Compensation Board has exercised her authority to remove Dr. Luigi M. Capobianco's authorization to treat injured workers in the New York State workers' compensation system effective January 28, 2021. This removal is non-disciplinary in nature. Dr. Capobianco's last known business address is:

11 Orchard Street
Glen Head, New York 11545

The Chair's designee's investigation has revealed that Dr. Capobianco voluntarily permanently surrendered his license to practice medicine in New York State to the Board for Professional Misconduct pursuant to Public Health Law § 230.13, effective January 28, 2021. This surrender was non-disciplinary in nature.

Dr. Capobianco 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. Capobianco for services rendered prior to January 28, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Capobianco for services rendered prior to January 28, 2021, should not be denied due to the removal of his authorization.

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