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Subject Number 046-913 Voluntary Resignation of Dr. Ahmed Adel Elsoury’s Authorization to Treat Injured Workers Effective January 16, 2017

Subject Numbers Regarding Health Provider Authorizations

Authorization No. 234547-8W

January 19, 2017

Please be advised that Dr. Ahmed Adel Elsoury has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective January 16, 2017. Dr. Elsoury’s last known practice address is 4247 Richmond Avenue, 1st Floor, Staten Island, New York 10312.

Dr. Elsoury is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Elsoury for services rendered prior to January 16, 2017 are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Elsoury for services rendered prior to January 16, 2017, 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.

Kenneth J. Munnelly