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Subject Number 046-1357 Voluntary Resignation of Dr. Azher Uddin Siddiqi

Board Bulletins and Subject Numbers

Authorization No. 175020-7B

January 6, 2021

Please be advised that Dr. Azher Uddin Siddiqi has resigned his authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system, effective December 23, 2020. Dr. Siddiqi’s last known practice addresses are:

1147 Richmond Road
Staten Island, New York 10304

and

355 Bard Avenue
Staten Island, New York 10310

Dr. Siddiqi 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. Siddiqi for services rendered prior to December 23, 2020, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Siddiqi for services rendered prior to December 23, 2020, 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.

Clarissa M. Rodriguez
Chair