Subject Numbers Regarding Health Provider Authorizations

Authorization No. 228161-6B

July 24, 2013

Please be advised that Dr. Boris Sachakov has been removed from the list of authorized providers based on information provided by the New York State Education Department indicating that Dr. Sachakov does not currently have an active license to practice medicine in New York State.

Pursuant to Workers' Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers' Compensation Board authorization(s). Therefore, Dr. Sachakov's authorizations to treat injured workers and perform independent medical examinations within the New York State workers' compensation system have been removed effective April 29, 2013. Dr. Sachakov's last known practice address is 3133 Brighton 7th Street, Brooklyn, New York 11234.

Dr. Sachakov is prohibited from rendering treatment and care to injured workers and from performing independent medical examinations. Reports submitted by Dr. Sachakov for services rendered prior to April 29, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Sachakov for services rendered prior to April 29, 2013, should not be denied due to the removal of his authorizations.

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