Subject Numbers Regarding Health Provider Authorizations

Authorization No. 224512-4W

January 23, 2025

Please be advised that Dr. Samy Lasheen (hereinafter, “the provider”) has resigned their authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system effective January 16, 2025. The provider’s last known practice address is:

Pain Management of Boro Park PC
5024 10th Avenue
Suite 1F
Brooklyn, New York 11219

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 January 16, 2025, 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 January 16, 2025, 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.