Subject Numbers Regarding Health Provider Authorizations

Authorization No. 125715-3B

March 19, 2018

Please be advised that Dr. Roger Antoine has resigned his authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system effective March 16, 2018. Dr. Antoine’s last known practice addresses are:

3713 E. Tremont Avenue
Bronx, New York 10465

218-41 94th Road
Queens Village, New York 11428

233 Nostrand Avenue
Brooklyn, New York 11205

1000 Church Avenue
Brooklyn, New York 11218

Dr. Antoine is prohibited from rendering treatment and care to injured workers and from performing independent medical examinations. Reports submitted by Dr. Antoine for services rendered prior to March 16, 2018 are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Antoine for services rendered prior to March 16, 2018 should not be denied due to the resignation of his authorizations.

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