`RECEIVED NYSCEF: 02/01/2022
`NYSCEF DOC. NO. 56
`Request for Judicial Intervention Addendum
`UCS-840A (7/2012)
`Index No:
`Supreme COURT, COUNTY OF New York
`For use when additional space is needed to provide party or related case information.
`
`INDEX NO. 155969/2021
`
`155969/2021
`
`Insurance Carriers
`For each defendant,
`indicate insurance
`carrier, if applicable.
`
`PARTIES:
`For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in "Attorneys" space.
`Parties
`Attorneys and Unrepresented Litigants
`Issue Joined
`Un-
`Rep
`List parties in same order as listed in the
`For represented parties, provide attorney's name, firm name, address, phone
`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
`defendant, 3rd party plaintiff, etc.)
`email.
`been joined.
`Name: P.L. ACUPUNCTURE, P.C.
`JOSEPH PADRUCCO, The Law Offices of Gabriel & Moroff
`PC, 2 Lincoln Ave, 4th Floor , Rockville Centre, NY 11570,
`15163887040, jpadrucco@gabrielmoroff.com
`
`Role(s): Defendant/Respondent
`
`Name: QUICK HEALTH PHARMACY
`CORP
`Role(s): Defendant/Respondent
`
`BORIS TADCHIEV, The Tadchiev Law Firm, P.C., 6909
`164th Street Ste. 202, Fresh Meadows, NY 11365,
`7183801200, boris@tadchievlaw.com
`
`Name: SKY RADIOLOGY, P.C.
`
`140-15 Holly Avenue, Flushing, NY 11355
`
`☐
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`☐
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`☒
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`☒
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`☒
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`☒
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`☐
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`☐
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`☒
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`☐
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`☐
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`☒
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`☒ YES ☐ NO
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`☒ YES ☐ NO
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`☐ YES ☒ NO
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`☐ YES ☒ NO
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`☐ YES ☒ NO
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`☐ YES ☒ NO
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`☐ YES ☒ NO
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`☒ YES ☐ NO
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`☒ YES ☐ NO
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`☐ YES ☒ NO
`
`Role(s): Defendant/Respondent
`
`Name: SMS THERAPY SUPPLY, INC.
`
`97-77 Queens Boulevard, Tower Floor, Rego Park, NY
`11374
`
`124 Connetquot Road, Bayport, NY 11705
`
`Role(s): Defendant/Respondent
`Name: THODEN CHIROPRACTIC,
`P.C.☒
`Role(s): Defendant/Respondent
`
`Name: ADVANCED
`COMPREHENSIVE LABORATORY
`d/b/a TOP LAB
`Role(s): Defendant/Respondent
`
`Name: TOTAL ANESTHESIA
`PROVIDER, P.C.
`Role(s): Defendant/Respondent
`
`Name: WELLNESS DIAGNOSTIC
`IMAGING, P.C.
`Role(s): Defendant/Respondent
`
`Name: HEALING SUPPLY INC.
`
`Role(s): Defendant/Respondent
`
`67-71 E. Willow Street, Milburn, NJ 07041
`
`4 Sands Court, Great Neck, NY 11023
`
`BORIS TADCHIEV, The Tadchiev Law Firm, P.C., 6909
`164th Street Ste. 202, Fresh Meadows, NY 11365,
`7183801200, boris@tadchievlaw.com
`
`BORIS TADCHIEV, The Tadchiev Law Firm, P.C., 6909
`164th Street Ste. 202, Fresh Meadows, NY 11365,
`7183801200, boris@tadchievlaw.com
`
`Name: DR. MARC RYBSTEIN, M.D.
`
`545 E. Jericho Turnpike, Huntington Station, NY 11746
`
`Role(s): Defendant/Respondent
`
`Name: NEIGHBORHOOD PHYSICAL
`THERAPY, P.C.
`Role(s): Defendant/Respondent
`
`JOSEPH PADRUCCO, The Law Offices of Gabriel & Moroff
`PC, 2 Lincoln Ave, 4th Floor , Rockville Centre, NY 11570,
`15163887040, jpadrucco@gabrielmoroff.com
`
`☒ YES ☐ NO
`
`Name: VITAL MEDICAL OF FOREST
`HILLS
`Role(s): Defendant/Respondent
`
`BORIS TADCHIEV, The Tadchiev Law Firm, P.C., 6909
`164th Street Ste. 202, Fresh Meadows, NY 11365,
`7183801200, boris@tadchievlaw.com
`
`Name: NORRIS, KEMESHA
`
`3613 Avenue D, Apartment 10B, Brooklyn, NY 11203
`
`Role(s): Defendant/Respondent
`
`☒ YES ☐ NO
`
`☐ YES ☒ NO
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`RELATED CASES:
`
`List any related actions. For Matrimonial actions, include any related criminal and/or Famiy Court cases.
`
`This form was generated by NYSCEF
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