Subject Numbers Regarding Health Provider Authorizations

Authorization No. 213557-2W

March 21, 2024

Please be advised that Dr. William J. Bollhofer (hereinafter, "the provider") has resigned their authorization to treat injured workers in the New York State workers' compensation system effective March 17, 2024. The provider's last known practice addresses are:

1 Research Road
Ridge, New York 11961

New York Health
32645 Main Road, Suite 7-8
Cutchogue, New York 11935

New York Health
300 Old County Road
Riverhead, New York 11901

New York Health
1061 North Broadway, Suite 2
North Massapequa, New York 11758

The provider is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 New York Codes, Rules and Regulations § 324.3(b)(2)(ii)(a). Reports submitted by the provider for services rendered prior to March 17, 2024, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine the provider for services rendered prior to March 17, 2024, should not be denied due to their resignation.

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