Subject Numbers Regarding Health Provider Authorizations

Authorization No. 153367-8W

March 26, 2024

Please be advised that Dr. Stanley W. Docyk (hereinafter, "the provider") has resigned their authorization to treat injured workers in the New York State workers' compensation system effective March 20, 2024. The provider's last known practice addresses are:

Wilton Medical Arts
3040 Route 50
Saratoga Springs, New York 12866

Saratoga Hospital
Emergency Department
211 Church Street
Saratoga Springs, New York 12866

Adirondack Urgent Care
959 Route 9, Suite O
Queensbury, New York 12804

Malta Medical Emergent Care
6 Medical Park Drive
Malta, New York 12020

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 March 20, 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 March 20, 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.