Subject Numbers Regarding Health Provider Authorizations

Authorization No. 181053-0W

October 16, 2017

Pursuant to Workers' Compensation Law Section 13-d(5), the Chair of the New York State Workers' Compensation Board has exercised her authority to revoke Dr. Jeanine Santiago’s authorization to treat injured workers within the New York State workers’ compensation system effective October 13, 2017. Dr. Santiago's last known business address is:

124 Smithtown Road
Fishkill, New York 12524

The revocation is based upon Administrative Review Board (ARB) Determination and Order (BPMC No. 17-281), issued by the New York State Department of Health, State Board for Professional Medical Conduct (BPMC), effective October 9, 2017. In that Determination and Order, the ARB affirmed the Committee’s Determination that Dr. Santiago committed professional misconduct and voted to revoke her license.

Dr. Santiago had her authorization to treat injured workers temporarily suspended by the Board on May 27, 2015.

Dr. Santiago is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Santiago for services rendered prior to May 27, 2015 are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Santiago for services rendered prior to May 27, 2015 should not be denied due to the temporary suspension and subsequent revocation of her authorization.

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