On October 21, 2015 a
No Value
was filed
involving a dispute between
Alicia M Arundel,
Arthur A Belli Jr
As Parent And Natural Guardian Of Stephanie Belli, Deceased, And As The Administrator Of The E O Stephanie Belli,
Joelle Dimonte,
Melissa A Crai,
Mindy Grabina
A O E Amy Grabina, And Mindy Grabina, Individually,,
Olga Lipets,
Steven Baruch
A O E Lauren Baruch, Deceased, And Steven Baruch, Individually,,
Suzanne Schulman
As Administratrix Of The Estate Of Brittney M. Schulman, Deceased,
and
Cabot Coach Builders, Inc D B A Royale Limousine,
Carlos F Pino,
County Of Suffolk,
Romeo Dimon Marine Service, Inc.,
Steven D Romeo,
Town Of Southold,
Ultimate Class Limousine, Inc.,
Xyz Companies 1-5
Name Being Fictitious But Intended To Be The Remanufacturers, Distributors, And Or Sellers Of The 2007 Lincoln Town Car Stretch Limousine Involved In The Collision,,
for Tort
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 04/01/2021 11:03 AM INDEX NO. 611214/2015
NYSCEF DOC. NO. 780 RECEIVED NYSCEF: 04/01/2021
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF SUFFOLK
X
ALICIA M. ARUNDEL; SUZANNE SCHULMAN, AS Index No.: 611214/2015
ADMINISTRATRIX OF THE ESTATE OF BRITTNEY
M. SCHULMAN, DECEASED; OLGA LIPETS; MINDY
GRABINA, AS ADMINSTRATRIX OF THE ESTATE
OF AMY GRABINA, AND MINDY GRABINA,
INDIVIDUALLY; STEVEN BARUCH, AS ADMINISTRATOR
OF THE ESTATE OF LAUREN BARUCH, DECEASED,
AND STEVEN BARUCH, INDIVIDUALLY; JOELLE
DIMONTE; AND MELISSA A. CRAI,
DEMAND FOR
AUTHORIZATIONS AS
Plaintiffs, TO PLAINTIFF
ALICIA ARUNDEL
-against-
ULTIMATE CLASS LIMOUSINE, INC., CARLOS PINO,
ROMEO DIMON MARINE SERVICE, INC., STEVEN
ROMEO, TOWN OF SOUTHOLD and COUNTY OF
SUFFOLK, CABOT COACH BUILDERS, INC., d/b/a
1-5"
ROYALE LIMOUSINE and "XYZ COMPANIES
name being fictitious but intended to be the remanufacturers,
distributors and/or sellers of the 2007 Lincoln Town Car
stretch limousine involved in the collision,
Defendants.
X
PLEASE TAKE NOTICE, that pursuant to CPLR 3101 and Rule 3120, the plaintiff is
hereby required to furnish to the undersigñed within thirty (30) days hereof, original duly
executed and addressed, open-ended HIPAA compliant authorizations for the following
providers:
1. An original duly executed HIPAA compliant authorization, non-restricted as to
date, which will enable the office of the üñdersigñêd to obtain duplicate originals of allupdated
memcal records, prescription records, diagnostic records and billing records from the followiñg
providers:
1
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FILED: SUFFOLK COUNTY CLERK 04/01/2021 11:03 AM INDEX NO. 611214/2015
NYSCEF DOC. NO. 780 RECEIVED NYSCEF: 04/01/2021
a. BAK Chiro, 56-1 251st Street, Suite 1, Little Neck, NY 11362;
b. Ernest Leuci, LCSWR, 3 Premier Court, Port Jefferson Station, NY 11776 ;
c. Libi Galmer, M.D., NY Presbyterian Hospital Medical Group, 72-06 Northern
Boulevard, Jackson Heights, NY 11372;
d. Dr. Melissa Cruz, NY Presbyterian Hospital Medical Group, 163-03 Horace Harding
Expressway, Fresh Meadows, NY 11365
2. An original duly executed HIPAA compliant authorization, non-restricted as to
date, which will enable the office of the undersigned to obtain duplicate originals of all medical
records, prescription records, diagnostic records and billing records from any and all new
doctors/medical facilities that plaintiff has treated at from July 18, 2015 to present.
3. An original duly executed HIPAA compliant authorization, non-restricted as to
date, which will enable the office of the undersigned to obtain duplicate originals of all medical
records, prescription records, diagnostic records and billing records from any and all new
hospitals that plaintiff has treated at from July 18, 2015 to present.
4. An original duly executed HIPAA compliant authorization, non-restricted as to
date, which will enable the office of the undersigned to obtain duplicate originals of all medical
records, prescription records, diagnostic records and billing records from any and all new
pharmacies that plaintiff has treated at from July 18, 2015 to present.
5. An original duly executed HIPAA compliant authorization, non-restricted as to
date, which will enable the office of the undersigned to obtain duplicate originals of all medical
records, prescription records, diagnostic records and billing records from any and all new
physical therapy facilities that plaintiff has treated at from July 18, 2015 to present.
2
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FILED: SUFFOLK COUNTY CLERK 04/01/2021 11:03 AM INDEX NO. 611214/2015
NYSCEF DOC. NO. 780 RECEIVED NYSCEF: 04/01/2021
6. An original duly executed HIPAA compliant authorization, non-restricted as to
date, which will enable the office of the undersigned to obtain duplicate originals prescription
records and billing records from any and all new mental health and counseling providers plaintiff
has treated at from July 18, 2015 to present.
PLEASE TAKE FURTHER NOTICE, that failure to comply with said demand within
thirty (30) days from the date herein will result in a motion for appropriate relief.
Dated: Melville, New York
April 1, 2021
Yours, etc.
LAW OFFICE OF VICTOR J. NATALE
_________________________________
STEVEN A. STEIGERWALD
Attorneys for Defendant
CABOT COACH BUILDERS, INC., d/b/a
ROYALE LIMOUSINE
Mailing address:
P.O. Box 2903
Hartford, CT 06104-2903
(631) 501-3100
TO:
All parties via efile
3
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Preview
FILED: SUFFOLK COUNTY CLERK 04/01/2021 11:03 AM INDEX NO. 611214/2015 NYSCEF DOC. NO. 780 RECEIVED NYSCEF: 04/01/2021 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF SUFFOLK X ALICIA M. ARUNDEL; SUZANNE SCHULMAN, AS Index No.: 611214/2015 ADMINISTRATRIX OF THE ESTATE OF BRITTNEY M. SCHULMAN, DECEASED; OLGA LIPETS; MINDY GRABINA, AS ADMINSTRATRIX OF THE ESTATE OF AMY GRABINA, AND MINDY GRABINA, INDIVIDUALLY; STEVEN BARUCH, AS ADMINISTRATOR OF THE ESTATE OF LAUREN BARUCH, DECEASED, AND STEVEN BARUCH, INDIVIDUALLY; JOELLE DIMONTE; AND MELISSA A. CRAI, DEMAND FOR AUTHORIZATIONS AS Plaintiffs, TO PLAINTIFF ALICIA ARUNDEL -against- ULTIMATE CLASS LIMOUSINE, INC., CARLOS PINO, ROMEO DIMON MARINE SERVICE, INC., STEVEN ROMEO, TOWN OF SOUTHOLD and COUNTY OF SUFFOLK, CABOT COACH BUILDERS, INC., d/b/a 1-5" ROYALE LIMOUSINE and "XYZ COMPANIES name being fictitious but intended to be the remanufacturers, distributors and/or sellers of the 2007 Lincoln Town Car stretch limousine involved in the collision, Defendants. X PLEASE TAKE NOTICE, that pursuant to CPLR 3101 and Rule 3120, the plaintiff is hereby required to furnish to the undersigñed within thirty (30) days hereof, original duly executed and addressed, open-ended HIPAA compliant authorizations for the following providers: 1. An original duly executed HIPAA compliant authorization, non-restricted as to date, which will enable the office of the üñdersigñêd to obtain duplicate originals of allupdated memcal records, prescription records, diagnostic records and billing records from the followiñg providers: 1 1 of 3 FILED: SUFFOLK COUNTY CLERK 04/01/2021 11:03 AM INDEX NO. 611214/2015 NYSCEF DOC. NO. 780 RECEIVED NYSCEF: 04/01/2021 a. BAK Chiro, 56-1 251st Street, Suite 1, Little Neck, NY 11362; b. Ernest Leuci, LCSWR, 3 Premier Court, Port Jefferson Station, NY 11776 ; c. Libi Galmer, M.D., NY Presbyterian Hospital Medical Group, 72-06 Northern Boulevard, Jackson Heights, NY 11372; d. Dr. Melissa Cruz, NY Presbyterian Hospital Medical Group, 163-03 Horace Harding Expressway, Fresh Meadows, NY 11365 2. An original duly executed HIPAA compliant authorization, non-restricted as to date, which will enable the office of the undersigned to obtain duplicate originals of all medical records, prescription records, diagnostic records and billing records from any and all new doctors/medical facilities that plaintiff has treated at from July 18, 2015 to present. 3. An original duly executed HIPAA compliant authorization, non-restricted as to date, which will enable the office of the undersigned to obtain duplicate originals of all medical records, prescription records, diagnostic records and billing records from any and all new hospitals that plaintiff has treated at from July 18, 2015 to present. 4. An original duly executed HIPAA compliant authorization, non-restricted as to date, which will enable the office of the undersigned to obtain duplicate originals of all medical records, prescription records, diagnostic records and billing records from any and all new pharmacies that plaintiff has treated at from July 18, 2015 to present. 5. An original duly executed HIPAA compliant authorization, non-restricted as to date, which will enable the office of the undersigned to obtain duplicate originals of all medical records, prescription records, diagnostic records and billing records from any and all new physical therapy facilities that plaintiff has treated at from July 18, 2015 to present. 2 2 of 3 FILED: SUFFOLK COUNTY CLERK 04/01/2021 11:03 AM INDEX NO. 611214/2015 NYSCEF DOC. NO. 780 RECEIVED NYSCEF: 04/01/2021 6. An original duly executed HIPAA compliant authorization, non-restricted as to date, which will enable the office of the undersigned to obtain duplicate originals prescription records and billing records from any and all new mental health and counseling providers plaintiff has treated at from July 18, 2015 to present. PLEASE TAKE FURTHER NOTICE, that failure to comply with said demand within thirty (30) days from the date herein will result in a motion for appropriate relief. Dated: Melville, New York April 1, 2021 Yours, etc. LAW OFFICE OF VICTOR J. NATALE _________________________________ STEVEN A. STEIGERWALD Attorneys for Defendant CABOT COACH BUILDERS, INC., d/b/a ROYALE LIMOUSINE Mailing address: P.O. Box 2903 Hartford, CT 06104-2903 (631) 501-3100 TO: All parties via efile 3 3 of 3