Subject Numbers Regarding Health Provider Authorizations

Authorization No. C09041-7

May 26, 2021

Please be advised that Dr. Thomas J. Notaro has resigned his authorization to treat injured workers in the New York State workers' compensation system effective May 21, 2021. Dr. Notaro's last known practice address is:

2283 Grand Island Boulevard
Grand Island, New York 14072

Dr. Notaro 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. Notaro for services rendered prior to May 21, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Notaro for services rendered prior to May 21, 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.