Subject Numbers Regarding Health Provider Authorizations

Authorization No. C02929-0W

September 1, 2022

Please be advised that Dr. Ronald Bernardini has resigned his authorization to treat injured workers in the New York State workers' compensation system, effective August 31, 2022. Dr. Bernardini's last known practice address is:

Lake Chiropractic
201 Portion Road, Suite A
Ronkonkoma, New York 11779

Dr. Bernardini is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Bernardini for services rendered prior to August 31, 2022, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Bernardini for services rendered prior to August 31, 2022, 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.