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Workers' Compensation Board

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New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-799

Voluntary Resignation of Dr. Mark M. Chalom's
Authorization to Treat Injured Workers
Effective August 24, 2015

Authorization No. 131355-0W

Date: August 28, 2015

Please be advised that Dr. Mark M. Chalom has resigned his authorization to treat injured workers in the New York State workers' compensation system effective August 24, 2015. Dr. Chalom's last known practice address is 1231 Congress Street, Ogdensberg, New York 13669.

Dr. Chalom is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Chalom for services rendered prior to August 24, 2015, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Chalom for services rendered prior to August 24, 2015, 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.

 

Robert E. Beloten
Chair