OUR FILE NO.: 950.170010 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK ------------------------------------------------------------------------x Index No.: i"~o.. 152517/2017 SUZANNE BOROWICZ, -against- Plaintiff, DEMAND FOR AUTHORIZATIONS QUIK PARK WEST 55TH ST., LLC, ICON PARKING SYSTEMS, LLC., 54 62 WEST 56 REALTY, 71 WEST 55TH RESTAURANT CORP., D/B/A WHISKEY TRADER, WHISKEY TRADER, AVENUE OF AMERICAS, LLC, PRINCIPLE REAL ESTATE INVESTORS, LLC, GALLERY HOUSE CONDOMINIUM, BOARD OF MANAGERS OF THE GALLERY HOUSE, PRIDE PROPERTY MANAGEMENT CORP., ------------------------------------------------------------------------X Defendants. COUNSELORS: Pursuant to Article 31 of the CPLR, demand is hereby made that the plaintiff provide the undersigned, within twenty (20) days, with duly executed and acknowledged HIPAA compliant authorizations, including full names and addresses of each institute, provider and/or treating physicians and specialty of said physicians, the dates of treatment of the plaintiff, if applicable, and other identifying information necessary to retrieve all reports, records, billing records, diagnostic films and hearing transcripts in the custody and control of the following: O' 1. Dr. Patrick O'Leary; 2. Dr. Sean McCance; 1
3. Dr. Heidi Schambra; 4. Hospital for Special Surgery; 5. Empire Blue Cross/Blue Shield; 6. Metropolitan Jewish Home Care; 7. Alissa Leonard, PT; 8. Central Park Women's Imaging; 9. Dr. Patrick Kang; 10. ProHealth pharmacy; 11. Beth Israel Medical Center; 12. Walgreens pharmacy; 13. Catholic Health Plan; 14. Dr. David Blank; 15. NY Presbyterian Hospital; 16. Arrow Pharmacy; 17. Dr. Joseph Gulbenkian; 18. Dr. Zoya Maksumova; 19. Duane Reade pharmacy; and 20. Dr. Paul Cohen. PLEASE TAKE NOTICE, that the applicable authorizations should be unrestricted and should be compliant with HIPAA rule 164.508 and should bear the complete names and addresses of each provider. PLEASE TAKE FURTHER NOTICE, that all authorizations must contain the following statement: "This authorization will remain in effect up to the conclusion of my 2
court case". PLEASE TAKE FURTHER NOTICE, that in the event you should fail to provide the items demanded above within twenty (20) days, a motion may be made seeking the appropriate relief. PLEASE TAKE FURTHER NOTICE, that this is a continuing demand and should any of the information requested become available to you after the date of this Demand, such information is to be furnished to the undersigned pursuant to said Demand. Dated: New York, New York March 8, 2018 Yours etc,. KOSTER, BRADY 8 NAGLER, LLP By: 9ffme R. 7#&ee MARC R. WILNER QUIK PARK WEST 55th ST., LLC AND ICON PARKING SYSTEMS, LLC One Whitehall Street, 10th FlOOr New York, New York 10004 (212) 248-8800 TO: KATZ & KERN, LLP. Attorneys for Plaintiff Chet W. Kern, Esq. 144 East 44th Street, Suite 504 New York, NY 10017 (212) 693-1330 KOWALSKI 5 DEVITO Attorneys for Defendant 55th 71 West Restaurant Corp. 3
d/b/a WHISKEY TRADER 12 Metrotech Center, 28th Brooklyn, New York 11201 (718) 250-1100 FlOOr LESTER SCHWAB KATZ 5 DWYER, LLP GALLERY HOUSE CONDOMINIUM, BOARD OF MANAGERS OF THE GALLERY HOUSE and PRIDE PROPERTY MANAGEMENT CORP. 100 Wall Street (212) 341-4347 MARSHALL DENNEHEY WARNER COLEMAN 8 GOGGIN AVENUE OF AMERICAS, LLC and PRINCIPLE REAL ESTATE INVESTORS, LLC 88 Pine Street, 21st (212) 376-6400 4
AFFIDAVIT OF SERVICE STATE OF NEW YORK ) :SS.: COUNTY OF NEW YORK ) MICHELE RUSSO, being duly sworn, deposes and says: I am not a party to the action, I am over 18 years of age and I am employed at One Whitehall Street, New York, New York 10004. On March 8, 2018, I served a true copy of the annexed DEMAND FOR AUTHORIZATIONS by mailing same in a sealed envelope with postage prepaid in an official depository of the U.S. Postal Service within the State of New York addressed TO: KATZ 8 KERN, LLP. Chet W. Kern, Esq. 144 East 44th Street, Suite 504 New York, NY 10017 KOWALSKI 8 DEVITO 28th 12 Metrotech Center, Brooklyn, New York 11201 LESTER SCHWAB KATZ & DWYER, LLP 100 Wall Street MARSHALL DENNEHEY WARNER COLEMAN & GOGGIN 21st 88 Pine Street, Sworn to before me this 8th day of March, 2018 MICHELE RUSSO Notary Public 5