Subject Numbers Regarding Health Provider Authorizations

Authorization No. PT027850-7W

February 20, 2024

Please be advised that Jacquileen M. Farrell, PT, DPT (hereinafter, "the provider") has resigned their authorization to treat injured workers in the New York State workers' compensation system effective February 16, 2024. The provider's last known practice addresses are:

Syracuse Orthopedic Specialists
8324 Oswego Road
Suite A
Liverpool, New York 13090

Syracuse Orthopedic Specialists
5496 East Taft Road
Suite 2B
North Syracuse, New York 13212

Syracuse Orthopedic Specialists
5417 West Genesee Street
Camillus, New York 13031

Syracuse Orthopedic Specialists
5823 Widewaters Parkway
Suite 3
East Syracuse, New York 13057

The provider is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 New York Codes, Rules and Regulations § 324.3(b)(2)(ii)(a). Reports submitted by the provider for services rendered prior to February 16, 2024, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine the provider for services rendered prior to February 16, 2024, should not be denied due to their resignation.

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