Subject Numbers Regarding Health Provider Authorizations

Authorization No. 114282-7W

September 24, 2013

Please be advised that Dr. Robert Vitolo has resigned his authorization to treat injured workers in the New York State workers' compensation system effective September 19, 2013. Dr. Vitolo's last known practice address is 1504 Richmond Road, Staten Island, NY 10304.

Dr. Vitolo is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Vitolo for services rendered prior to September 19, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Vitolo for services rendered prior to September 19, 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.