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Subject Number 046-893 Voluntary Resignation of Dr. David Munís Authorization to Treat Injured Workers Effective October 29, 2016

Subject Numbers Regarding Health Provider Authorizations

Authorization No. 234121-2W

October 31, 2016

Please be advised that Dr. David Mun has resigned his authorization to treat injured workers in the New York State workersí compensation system effective October 29, 2016. Dr. Munís last known practice address is 164-10 Crocheron Avenue, Flushing, New York 11358.

Dr. Mun is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Mun for services rendered prior to October 29, 2016 are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Mun for services rendered prior to October 29, 2016, should not be denied due to his resignation.

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

Kenneth J. Munnelly