Subject Numbers Regarding Health Provider Authorizations

Authorization No. 260373-6W

May 11, 2023

Please be advised that Dr. Manish Raval has resigned his authorization to treat injured workers in the New York State workers' compensation system effective May 8, 2023. Dr. Raval's last known practice address is:

Orange Medical Care
313 South Williams Street, Suite 1
Newburgh, New York, 12550

Dr. Raval 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. Raval for services rendered prior to May 8, 2023, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Raval for services rendered prior to May 8, 2023, 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.