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Workers' Compensation Board

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New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-1003

Changes to the List of Health Care Providers Authorized to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: November 6, 2017

Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).

The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.

NAME LAST KNOWN CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Aberfeld, Donald Cecil New York 093100-6W September 12, 2017
Abramovici, Luigia Constantiana Forest Hills 187372-8W September 12, 2017
Adenupe, Olumade Adebambo Marietta 262087-0W September 12, 2017
Alyskewycz, Roman Nicolaus Glen Head 100649-3W September 12, 2017
Batash, Maria V. Forest Hills 154071-5W September 12, 2017
Bauer, Clifford Topham Jamestown 077886-0W September 12, 2017
Bauer, Lewis Massapequa C04126-1W September 12, 2017
Beach, Brian W. Owego 120871-9W September 12, 2017
Beatty, Susan Marie Warwick 202537-7W September 12, 2017
Benson, Beth Joan Rochester 172767-6W September 12, 2017
Bivona, John C., Jr. Dover Plains 103645-8W September 12, 2017
Borkow, Stephen Edward New York 092199-9B September 12, 2017
Brandt, Arthur New York 078572-5W September 12, 2017
Carlen, Robert Daniel Stony Brook 087999-9W September 12, 2017
Carney, Young Kimberly Ithaca 253742-1W September 12, 2017
Carroll, Jennifer Kate Aurora 214505-0W September 12, 2017
Chan, Ming Cheong Derek Denver 106299-1W September 12, 2017
Chiu, Chin Ting New York 137504-7W September 12, 2017
Cimino, Eugene Anthony Pittsford 089525-0B September 12, 2017
Cohen, Michele Beth Long Beach C02488-7W September 12, 2017
Corey, William Christian Jamestown 279790-0W September 12, 2017
Crawford, John Stuart New Hartford 176568-4W September 12, 2017
Damaszek, Marek Sunrise 087229-1W September 12, 2017
Daniels, Lawrence Belvin Chatham 279596-1W September 12, 2017
De Angelis, John Naples 083008-3W September 12, 2017
Dreisinger, Albert Bronx 086199-7B September 12, 2017
Ejazuddin, Shaik Orlando 208289-9W September 12, 2017
Fongue Fongue, Vivien Steves Ca Binghamton 272692-5W September 12, 2017
Ganeles, Robert I. Woodmere 083752-6W September 12, 2017
Goldman, Ira S. Great Neck 134699-8W September 12, 2017
Gonzalez Erwin Gonzales New York 111290-3W September 12, 2017
Grolnick, Lawrence Ely White Plains 083382-2W September 12, 2017
Gusenoff, Beth Renee Pittsburgh P05650-8W September 12, 2017
Hartzfeld, Bruce O. N Tonawanda C01971-1W September 12, 2017
Haumesser, John C. Lockport 139960-9W September 12, 2017
Hirschhorn, Ralph Palm Gardens 082851-7I September 12, 2017
Ierardi, Pamela Bayside C05075-9W September 12, 2017
Israel, Brian Scott Tarrytown 194100-4W September 12, 2017
Jacobson, Jeffrey Michael Hornell 168781-3W September 12, 2017
Keppler, Jan Valley Stream 171167-0W September 12, 2017
Klahr, Aryeh L. Englewood 136206-0I September 12, 2017
Lee, Byung Ho Visalia 247918-6W September 12, 2017
Lee, Florence Sue Endicott 137056-8W September 12, 2017
Leigh, Cosmas Anthony Orchard Park C08319-8W September 12, 2017
Liljeberg, Peter Murray Canajoharie 170054-1W September 12, 2017
Malkin, Benjamin Daniel Oakland 240516-5W September 13, 2017
Mancuso, Charles Montrose 184058-6W September 12, 2017
Mattis, Anthony Black River 159024-9W September 12, 2017
Mayer, John Michael Lutz C06788-6W September 12, 2017
Mc Gowan, Andrew Joseph, Jr. Cutchogue 082915-0W September 12, 2017
Moghtaderi, Sam Washington 247012-8W September 12, 2017
Moss, Barbara Ann Far Rockaway 151802-6W September 12, 2017
Nelson, William S. Purchase 087054-3W September 12, 2017
Oldroyd, Melissa Ann Owego C12524-7W September 12, 2017
Palermo, David James Queensbury C03123-9B September 12, 2017
Palumbo, John N. Pelham Manor 120558-2W September 12, 2017
Panasci, Thomas James, II Des Peres 217117-1W September 13, 2017
Peck, Harvey Martin Pomona 076256-7W September 13, 2017
Petkovich, Bradley William Rochester 274682-4W September 13, 2017
Pisano, Gennaro Joseph Mount Sinai 096203-5W September 13, 2017
Ricci, Mario Quintus Scarsdale 076517-2W September 13, 2017
Romano, Charles Francis Watertown 170369-3W September 13, 2017
Sadeh, Amnon Eric Forest Hills 178281-2B September 13, 2017
Sassman, Michael Joseph Duluth 217800-2W September 13, 2017
Sayegh, Henri Westbury 130966-5W September 13, 2017
Schadlow, Alan Roy Katonah 105809-8W September 13, 2017
Schreffler, Susan Maria Chapel Hill 271557-1W September 13, 2017
Seimon, Leonard Philip Nyack 093339-0W September 13, 2017
Serban, George New York 084905-9W September 13, 2017
Shih, Henry J. Jericho 143443-0W September 13, 2017
Skonieczki, Brendan David Lewes 256539-8W September 13, 2017
Sladen, Robert Neil Roxbury 209432-4W September 13, 2017
Soloway, Peter H. Staten Island 165599-2W September 13, 2017
Stern, Irene Maria Syracuse S12946-0W September 13, 2017
Strominger, Adele I. Delmar 135869-6W September 13, 2017
Sussman, Robert New Rochelle 081321-2B September 13, 2017
Swinburne, Andrew James Pittsford 113158-0W September 13, 2017
Swinger, Alan Bennett Williamsburg 185194-8W September 13, 2017
Szporn, Monroe N. Philadelphia 131789-0W September 13, 2017
Tu, Dandan Greenwich 255367-5W September 13, 2017
Ungsunan, Pituck Yonkers 121878-3W September 13, 2017
Wadhera, Om Parkash Kendall Park 116498-7W September 13, 2017
Wasserstein, Gary Jay East Meadows 128055-1W September 13, 2017
Weinbaum, Paul Joel Pittsburgh 174460-6W September 13, 2017
Weiss, Robert Joseph Jamestown 127219-4W September 13, 2017
Wirojratana, Sawarngwong Fredonia 117979-5W September 13, 2017
Wise, Leslie Brooklyn 124387-2W September 13, 2017
Zetterstrand, Philip A. Brooklyn 085756-5W September 13, 2017
Zupruk, Gerald M. Patchogue 149214-9B September 13, 2017

* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations have an authorization number ending in I.

These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date should not be denied due to the removal of their authorizations.

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

 

Clarissa M. Rodriguez
Chair