Subject Numbers Regarding Health Provider Authorizations

Authorization No. 166679-1W

October 9, 2019

Please be advised that Dr. Michael R. Gray has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective October 7, 2019. Dr. Gray’s last known practice address is:

2 West 46th Street, Suite 1008
New York, New York 10036

Dr. Gray is prohibited from rendering treatment and care to injured workers and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Gray for services rendered prior to October 7, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Gray for services rendered prior to October 7, 2019, 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.