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Subject Number 046-1385 Voluntary Resignation of Dr. John Michael Syrotynski

Subject Numbers Regarding Health Provider Authorizations

Authorization No. C10671-8B

March 16, 2021

Please be advised that Dr. John Michael Syrotynski has resigned his authorizations to treat injured workers and perform independent medical examinations in the New York State workers’ compensation system effective March 16, 2021. Dr. Syrotynski’s last known practice addresses are:

69 Genesee Street
New Hartford, New York 13413

and

P.O. Box 8207
Utica, New York 13505

Dr. Syrotynski 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. Syrotynski for services rendered prior to March 16, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Syrotynski for services rendered prior to March 16, 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.

Clarissa M. Rodriguez
Chair