Subject Numbers Regarding Health Provider Authorizations

August 19, 2010

Authorization No. 176237-6W

Please be advised that, by Consent and Surrender Order (BPMC No. 10-108), issued by the New York State Department of Health, State Board for Professional Medical Conduct (BPMC), effective June 28, 2010, Roman Sorin, M.D., admitted guilt to engaging in professional misconduct.

Pursuant to Workers' Compensation Law Section 13-d(5), the Chair of the New York State Workers' Compensation Board has exercised his authority to remove Dr. Sorin from the list of authorized physicians effective July 27, 2010. Dr. Sorin's business address is 2026 Ocean Avenue, Brooklyn, New York 11230.

Dr. Sorin is prohibited from rendering medical treatment and care to individuals who have suffered work-related injuries or illnesses. Medical reports submitted by Dr. Sorin for treatment rendered prior to July 27, 2010, are valid, but are invalid for any treatment rendered on or after that date. Requests to cross-examine Dr. Sorin regarding treatment he rendered prior to July 27, 2010, should not be denied due to the removal of his name from the list of authorized physicians.

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