Subject Numbers Regarding Health Provider Authorizations

Authorization No. 103786-0W

October 23, 2013

Please be advised that Dr. Gary Zisk has resigned his authorization to treat injured workers in the New York State workers' compensation system effective October 8, 2013. Dr. Zisk's last known practice address is 8223 Bay Parkway, Brooklyn, NY 11204.

Dr. Zisk is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Zisk for services rendered prior to October 8, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Zisk for services rendered prior to October 8, 2013 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.