Subject Numbers Regarding Health Provider Authorizations

November 16, 2009

Authorization No. 144459-5W

Please be advised that, effective November 3, 2009, Osher Sebrow, M.D., voluntarily resigned his authorization to treat individuals who have suffered work-related injuries or illnesses. Dr. Sebrow's business address is 23-00 Route 208 South, Fair Lawn, New Jersey 07410.

Dr. Sebrow is prohibited from rendering medical treatment and other care to individuals who have suffered work-related injuries or illnesses. Medical reports submitted by Dr. Sebrow for treatment rendered prior to November 3, 2009, are valid, but are invalid for any treatment rendered on or after that date. Requests to cross-examine Dr. Sebrow regarding treatment he rendered prior to November 3, 2009, should not be denied due to the resignation of his authorization.

Any questions regarding this matter should be referred to the Office of General Counsel at (518) 486-9564.