Subject Numbers Regarding Health Provider Authorizations

Authorization No. 156232-1W

Date: May 9, 2013

Please be advised that Larry Pleener, M.D., has resigned his authorization to treat injured workers in the New York State workers' compensation system effective July 5, 2012. Dr. Pleener's last known business address is 1836 Bellmore Avenue, North Bellmore, New York, 11710.

Dr. Pleener is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Pleener for services rendered prior to July 5, 2012, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Pleener for services rendered prior to July 5, 2012, should not be denied due to his voluntary resignation.

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