Subject Numbers Regarding Health Provider Authorizations

Authorization No. 229564-0W

July 23, 2013

Please be advised that Dr. Ramin Rak has resigned his authorization to treat injured workers in the New York State workers' compensation system effective May 17, 2013. Dr. Rak's last known practice address is 353 Veteran's Memorial Highway, Commack, New York 11725.

Dr. Rak had his authorization to treat injured workers temporarily suspended by the Board on March 5, 2013.

Dr. Rak is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Rak for services rendered prior to March 5, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Rak for services rendered prior to March 5, 2013, should not be denied due to the temporary suspension and subsequent resignation.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.