Subject Numbers Regarding Health Provider Authorizations

Authorization No. 254487-2W

December 11, 2024

Please be advised that Dr. Mohammed Hadi (hereinafter, "the provider") has resigned their authorization to treat injured workers in the New York State workers' compensation system effective December 10, 2024. The provider's last known practice address is:

875 Old Country Road
Suite 302
Plainview, New York 11803

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 December 10, 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 December 10, 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.