Subject Numbers Regarding Health Provider Authorizations

Authorization No. 158672-6W

June 1, 2017

Please be advised that Dr. Michael P.M. Pond has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective May 26, 2017. Dr. Pond’s last known practice addresses are 1128 Kiwassa Lake, Saranac Lake, New York 12983 and 1927 Saranac Avenue, Lake Placid, New York 12946.

Dr. Pond is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Pond for services rendered prior to May 26, 2017, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Pond for services rendered prior to May 26, 2017, 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.