Subject Numbers Regarding Health Provider Authorizations

Authorization No. 158079-4W

Date: January 10, 2020

Please be advised that Dr. Howard Marshall Simon has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective January 9, 2020. Dr. Simon’s last known practice address is:

6852 Dutch Hill Road
Fayetteville, New York 13066

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