Subject Numbers Regarding Health Provider Authorizations

Authorization No. 208431-7W

June 23, 2017

Please be advised that Dr. Thomas C. Mathew has resigned his authorization to treat injured workers in the New York State workers' compensation system effective June 22, 2017. Dr. Mathew’s last known practice address is 1223 Pleasant Street, Utica, New York 13501.

Dr. Mathew is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Mathew for services rendered prior to June 22, 2017, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Mathew for services rendered prior to June 22, 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.