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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. 046-869

Voluntary Resignation of Dr. Nancy Catherine Blake’s
Authorization to Treat Injured Workers
Effective August 8, 2016

Authorization No. 223034-0W

Date: August 9, 2016

Please be advised that Dr. Nancy Catherine Blake has resigned her authorization to treat injured workers in the New York State workers’ compensation system effective August 8, 2016. Dr. Blake’s last known practice address is 500 Old Liverpool Road, Suite B, Liverpool, New York 13088.

Dr. Blake is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Blake for services rendered prior to August 8, 2016, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Blake for services rendered prior to August 8, 2016, should not be denied due to her resignation.

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

 

Kenneth J. Munnelly
Chair