Subject Numbers Regarding Health Provider Authorizations

Authorization No. 225102-3W

August 12, 2013

Please be advised that Dr. Timothy Roche has resigned his authorization to treat injured workers in the New York State workers' compensation system effective July 24, 2013. Dr. Roche's last known practice address is 142 Clinton Street, Binghamton, New York 13905.

Dr. Roche is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Roche for services rendered prior to July 24, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Roche for services rendered prior to July 24, 2013, should not be denied due to his resignation.

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