Subject Numbers Regarding Health Provider Authorizations

Authorization No. 147528-4W

January 14, 2020

Please be advised that Dr. Michael T. Grant has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective March 20, 2020. Dr. Grant’s last known practice address is:

550 Orchard Park Road, B 105
West Seneca, New York 14224

Reports submitted by Dr. Grant for services rendered prior to March 20, 2020, are valid. Requests to cross-examine Dr. Grant for services rendered prior to March 20, 2020, 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.