Subject Numbers Regarding Health Provider Authorizations

Authorization No. 131308-9W

October 18, 2021

Please be advised that Dr. Sana M. Bloch has resigned his authorization to treat injured workers in the New York State workers' compensation system effective October 13, 2021. Dr. Bloch's last known practice address is:

MedAlliance Medical
625 East Fordham Road
Bronx, New York 10458

Dr. Bloch 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). Dr. Bloch's authorization to treat injured workers has been temporarily suspended since July 6, 2021 (Subject No. 046-1424). Reports submitted by Dr. Bloch for services rendered prior to July 6, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Bloch for services rendered prior to July 6, 2021, 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.