Subject Numbers Regarding Health Provider Authorizations

Authorization No. C05198-9B

May 5, 2021

Please be advised that Dr. Jeffrey A. Shapiro has resigned his authorizations to treat injured workers and perform independent medical examinations in the New York State workers' compensation system effective May 3, 2021. Dr. Shapiro's last known practice addresses are:

CHC Chiropractic
275 North Central Avenue
Valley Stream, New York 11580

and

2854 Long Beach Road
Oceanside, New York 11572

Dr. Shapiro is prohibited from rendering treatment and care to injured workers, from performing independent medical examinations, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Shapiro for services rendered prior to May 3, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Shapiro for services rendered prior to May 3, 2021, should not be denied due to his resignations.

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