Subject Numbers Regarding Health Provider Authorizations

Authorization No. 126015-7W

May 16, 2019

Please be advised that Dr. Alan H. Jaffe has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective May 10, 2019. Dr. Jaffe’s last known practice addresses are:

16 Farhill Lane
Pleasantville, New York 10570

2700 Westchester Avenue
Purchase, New York 10577 and

3030 Westchester Avenue
Purchase, New York 10577

Dr. Jaffe is prohibited from rendering treatment and care to injured workers and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Jaffe for services rendered prior to May 10, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Jaffe for services rendered prior to May 10, 2019, 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.