Subject Numbers Regarding Health Provider Authorizations

Authorization No. 229722-4W

April 5, 2021

Please be advised that Dr. James E. Hollandt has resigned his authorization to treat injured workers in the New York State workers' compensation system effective April 1, 2021. Dr. Hollandt's last known practice address is:

Guthrie Medical Group
1246 State Route 38
Owego, New York 13827

Dr. Hollandt 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. Hollandt for services rendered prior to April 1, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Hollandt for services rendered prior to April 1, 2021, 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.