Subject Numbers Regarding Health Provider Authorizations

Authorization No. C02968-8W

August 15, 2014

Please be advised that Dr. Melinda Keller has resigned her authorization to treat injured workers in the New York State workers' compensation system effective July 14, 2014. Dr. Keller's last known practice address is 5911 16th Avenue, Brooklyn, New York.

Dr. Keller had her authorization to treat injured workers temporarily suspended by the Board on June 30, 2014.

Dr. Keller is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Keller for services rendered prior to June 30, 2014, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Keller for services rendered prior to June 30, 2014 should not be denied due to her temporary suspension and subsequent resignation.

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