Preview
FILED: NEW YORK COUNTY CLERK 09/20/2019 01:35 PM INDEX NO. 654166/2019
NYSCEF DOC. NO. 26 RECEIVED NYSCEF: 09/20/2019
REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,)
New York Süpi-Giñê COURT, COUNTY OF New York
Index No: 654166/2019 Date Index Issued: 07/22/2019 For Court Use Only:
IAS EntryDate
Unitrin Advantage Insurance Company
Judge Assigned
Plaintiff(s)/Petitioner(s)
-against-
ACCELERATED DME RECOVERY, INC, BRONX SC, LLC, Christopher Frendo, COMPREHENSIVE MEDICAL
ASSIST P.C.,COMPREHENSIVE MRI OF NEW YORK, P.C., Emmanuel Hostin, KATZMAN ORTHOPEDICS
P.C., MEDIHEALTH MEDICAL, P.C., PREMIER EAST PHYSICAL MEDICINE AND REHAB, P.C., ROCKVILLE RJIFiled Date
ANESTHESIA GROUP, LLP, STAND-UP MRI OF DEER PARK, P.C.,Jose Alvarez
Defend=nt(c)/acapondent(s)
ACTION OR PROCEEDI eindicated.
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATRIMONIAL RJIAddendum (UCS-84OM).
Insurance(where insurance company is a party, except arb!trat!en)
For Unw ested Matrimonial actions, use the UncontestedDivorce RJi(UD-13).
O UCC(includes sales and negotiable instruments)
Other Commercial(specify):
TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDIVISION RJIADDENDUM (UCS-840C). Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the epp!!cet!enincludes: .
r.....vn=catal
.
(specify):
O
O Condemnation Medical,Dental, or Podiatric Malpractice
O O nacidential
Mortgage Foreclosure(specify): O Commercial O Motor Vehicle
Property Address: O Products Liability (specify):
Other Negligence(specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
occupied residential property or owner-occupiedcondominium, complete and
O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJIADDENDUM (UCS-840F). Other Tort (specify):
Tax Certiorari - Section: Block: Lot:
Tax Foreclosure SPECIAL PROCEEDINGS
Other Real Property (specify): O CPLRArticle 75 (Arbitration)
[see NOTE in COMMERCIALsection]
CPLRArticle 78 (Body or Officer)
OTHER MATTERS
O Election Law
O Certificate of Incorporatior./D|::::s:::r.
[see NOTE in COMMERCIALsection] Extreme Risk Protection Order
Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law)
HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial)
O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinement-Review)
Mechanic'sLien MHLArticle 81 (Guardianship)
NameChange O Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O 07R2R019
If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O 07/31R019
If yes, date served:
Is this action/proceeding being filed post-judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=2tion
where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Podiatric Malpractice
Notice of Motion Relief Requested: Return Date:
O
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Relief Requested:
O PoorPersonApplication
O Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
Motionfor Default Judgment
Other (specify):
1 of 2
FILED: NEW YORK COUNTY CLERK 09/20/2019 01:35 PM INDEX NO. 654166/2019
RELATED CASES: actions.
List any related For Matrimonial
cases, list any
relatedcriminalor Family
Court cases.If none,
leaveblank.If additional
space
NYSCEF DOC. NO. 26is required,
complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 09/20/2019
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan attorney,
check the "Un-Rep"box and entertheparty's phone number and email in the
space
PARTIES: address,
provided.If additional
spaceis required,
complete and attach
the RJI Addendum (UCS-840A).
Un- Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Carriers
Rep List parties in same order as listed in the
For represented parties, provide attorney's name, firm name, address, phone
For each defendant,
For each defendant,
caption and indicate roles (e.g., plaintiff,
and email. For unrepresented parties, provide party's address, phone and
indicate if issue has
indicate insurance
defendant; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable.
Name: Unitrin Advantage Insurance Company
HARLANSCHREIBER,Goldberg Miller & Rubin, PC,60 East42nd Street, Suite
521 , New York, NY 10165, 646-503-5791, hschreiber@gmrlawfirm.com
2 YES O NO
Role(s):Plaintiff/Petitioner
Name:ACCELERATED DMERECOVERY, INC 88-11101st Ave, Ozone Park, NY 11416
O YES 2 NO
Role(s):Defendant/Respondent
Name: BRONXSC, LLC 3170 Webster Ave., Bronx, NY 10467
O YES 2 NO
Role(s):Defendant/Respondent
Name: Frendo, Christopher 763 Larkfield Road,Second Floor,Commack, NY 11725
O YES 2 NO
Role(s):Defendant/Respondent
Name: COMPREHENSIVEMEDICALASSISTP.C· 11 GraceAve. Suite 204, Great Neck, NY 11021
O YES 2 NO
Role(s):Defendant/Respondent
Name: COMPREHENSIVEMRIOFNEWYORK, 110 Marcus Drive, Melville, NY 11747
O YES 2 NO
Role(s):Defendant/Respondent
Name: Hostin, Emmanuel KEVIND'ARCY,Thwaites, Lundgren& D'Arcy, 173 HalsteadAvenue , Harrison,
NY 10528, 914-789-5020, 21kevindarcy@gmail.com O YES 2 NO
Role(s):Defendant/Respondent
Name: KATZMANORTHOPEDICS P.C· 261Jericho Turnpike, Floral Park, NY 11001
O YES 2 NO
Role(s):Defendant/Respondent
Name: MEDIHEALTHMEDICAL,P.C· 200 E. Main Street, Patchogue,NY 11772
O YES 2 NO
Role(s):Defendant/Respondent
Name: PREMIER
EASTPHYSICAL MEDICINEAND 18 Maple Drive, Port Washington, NY 11050
REHAB,P.C. YES NO
2
Role(s):Defendant/Respondent
Name: ROCKVILLE
ANESTHESIAGROUP,LLP 55 MapleAve. Suite 106, Rockville Center, NY 11570
O YES 2 NO
Role(s):Defendant/Respondent
Name: STAND-UPMRIOFDEERPARK,P.C· 1118 Deer Park Ave., North Babylon, NY 11703
O YES 2 NO
Role(s):Defendant/Respondent
Name: Alvarez, Jose 123 Neptune Ave, Mastic, NY 11950
O YES 2 NO
Role(s):Defendant/Respondent
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR
PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FORJUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS
ACTION OR PROCEEDING.
Dated: 09/20/2019 HARLAN R SCHREIBER
Signature
3935723 HARLAN R SCHREIBER
Attorney Registration Number PrintName
This form was generated by NYSCEF
2 of 2
Preview
FILED: NEW YORK COUNTY CLERK 09/20/2019 01:35 PM INDEX NO. 654166/2019 NYSCEF DOC. NO. 26 RECEIVED NYSCEF: 09/20/2019 REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,) New York Süpi-Giñê COURT, COUNTY OF New York Index No: 654166/2019 Date Index Issued: 07/22/2019 For Court Use Only: IAS EntryDate Unitrin Advantage Insurance Company Judge Assigned Plaintiff(s)/Petitioner(s) -against- ACCELERATED DME RECOVERY, INC, BRONX SC, LLC, Christopher Frendo, COMPREHENSIVE MEDICAL ASSIST P.C.,COMPREHENSIVE MRI OF NEW YORK, P.C., Emmanuel Hostin, KATZMAN ORTHOPEDICS P.C., MEDIHEALTH MEDICAL, P.C., PREMIER EAST PHYSICAL MEDICINE AND REHAB, P.C., ROCKVILLE RJIFiled Date ANESTHESIA GROUP, LLP, STAND-UP MRI OF DEER PARK, P.C.,Jose Alvarez Defend=nt(c)/acapondent(s) ACTION OR PROCEEDI eindicated. COMMERCIAL MATRIMONIAL O Contested O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) NOTE: If there are children under the age of 18, complete and attach the Contract MATRIMONIAL RJIAddendum (UCS-84OM). Insurance(where insurance company is a party, except arb!trat!en) For Unw ested Matrimonial actions, use the UncontestedDivorce RJi(UD-13). O UCC(includes sales and negotiable instruments) Other Commercial(specify): TORTS NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCIALDIVISION RJIADDENDUM (UCS-840C). Asbestos O Child Victims Act REAL PROPERTY: Specify how many properties the epp!!cet!enincludes: . r.....vn=catal . (specify): O O Condemnation Medical,Dental, or Podiatric Malpractice O O nacidential Mortgage Foreclosure(specify): O Commercial O Motor Vehicle Property Address: O Products Liability (specify): Other Negligence(specify): NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- occupied residential property or owner-occupiedcondominium, complete and O Other ProfessionalMalpractice (specify): attach the FORECLOSURERJIADDENDUM (UCS-840F). Other Tort (specify): Tax Certiorari - Section: Block: Lot: Tax Foreclosure SPECIAL PROCEEDINGS Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection] CPLRArticle 78 (Body or Officer) OTHER MATTERS O Election Law O Certificate of Incorporatior./D|::::s:::r. [see NOTE in COMMERCIALsection] Extreme Risk Protection Order Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law) HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial) O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinement-Review) Mechanic'sLien MHLArticle 81 (Guardianship) NameChange O Other Mental Hygiene (specify): Pistol Permit Revocation Hearing O Other Special Proceeding(specify): O Saleor Financeof Religious/Not-for-ProfitProperty O Other (specify): STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated. YES NO Hasa summons and complaint or summonswith notice been filed? O 07R2R019 If yes, date filed: Hasa summons and complaint or summonswith notice been served? O 07/31R019 If yes, date served: Is this action/proceeding being filed post-judgment? O If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=2tion where indicated. O Infant's Compromise O Extreme Risk ProtectionOrder Application O Note of Issue/Certificateof Readiness O Date Issuejoined: Notice of Medical, Dental, or Podiatric Malpractice Notice of Motion Relief Requested: Return Date: O Notice of Petition Relief Requested: Return Date: O Order to ShowCause Relief Requested: Return Date: O Other Ex ParteApplication Relief Requested: O PoorPersonApplication O Requestfor Preliminary Conference O ResidentialMortgage ForeclosureSettlement Conference O Writ of HabeasCorpus Motionfor Default Judgment Other (specify): 1 of 2 FILED: NEW YORK COUNTY CLERK 09/20/2019 01:35 PM INDEX NO. 654166/2019 RELATED CASES: actions. List any related For Matrimonial cases, list any relatedcriminalor Family Court cases.If none, leaveblank.If additional space NYSCEF DOC. NO. 26is required, complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 09/20/2019 Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase For parties withoutan attorney, check the "Un-Rep"box and entertheparty's phone number and email in the space PARTIES: address, provided.If additional spaceis required, complete and attach the RJI Addendum (UCS-840A). Un- Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Carriers Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance defendant; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable. Name: Unitrin Advantage Insurance Company HARLANSCHREIBER,Goldberg Miller & Rubin, PC,60 East42nd Street, Suite 521 , New York, NY 10165, 646-503-5791, hschreiber@gmrlawfirm.com 2 YES O NO Role(s):Plaintiff/Petitioner Name:ACCELERATED DMERECOVERY, INC 88-11101st Ave, Ozone Park, NY 11416 O YES 2 NO Role(s):Defendant/Respondent Name: BRONXSC, LLC 3170 Webster Ave., Bronx, NY 10467 O YES 2 NO Role(s):Defendant/Respondent Name: Frendo, Christopher 763 Larkfield Road,Second Floor,Commack, NY 11725 O YES 2 NO Role(s):Defendant/Respondent Name: COMPREHENSIVEMEDICALASSISTP.C· 11 GraceAve. Suite 204, Great Neck, NY 11021 O YES 2 NO Role(s):Defendant/Respondent Name: COMPREHENSIVEMRIOFNEWYORK, 110 Marcus Drive, Melville, NY 11747 O YES 2 NO Role(s):Defendant/Respondent Name: Hostin, Emmanuel KEVIND'ARCY,Thwaites, Lundgren& D'Arcy, 173 HalsteadAvenue , Harrison, NY 10528, 914-789-5020, 21kevindarcy@gmail.com O YES 2 NO Role(s):Defendant/Respondent Name: KATZMANORTHOPEDICS P.C· 261Jericho Turnpike, Floral Park, NY 11001 O YES 2 NO Role(s):Defendant/Respondent Name: MEDIHEALTHMEDICAL,P.C· 200 E. Main Street, Patchogue,NY 11772 O YES 2 NO Role(s):Defendant/Respondent Name: PREMIER EASTPHYSICAL MEDICINEAND 18 Maple Drive, Port Washington, NY 11050 REHAB,P.C. YES NO 2 Role(s):Defendant/Respondent Name: ROCKVILLE ANESTHESIAGROUP,LLP 55 MapleAve. Suite 106, Rockville Center, NY 11570 O YES 2 NO Role(s):Defendant/Respondent Name: STAND-UPMRIOFDEERPARK,P.C· 1118 Deer Park Ave., North Babylon, NY 11703 O YES 2 NO Role(s):Defendant/Respondent Name: Alvarez, Jose 123 Neptune Ave, Mastic, NY 11950 O YES 2 NO Role(s):Defendant/Respondent Name: O YES O NO Role(s): Name: O YES O NO Role(s): I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FORJUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS ACTION OR PROCEEDING. Dated: 09/20/2019 HARLAN R SCHREIBER Signature 3935723 HARLAN R SCHREIBER Attorney Registration Number PrintName This form was generated by NYSCEF 2 of 2