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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. 046-1006

Newly Authorized Health Care Providers Approved to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: December 13, 2017

The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.

NAME SPECIALTY AREA OF PRACTICE CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Go, Ramon Christopher Vallanuev Anesthesiology New York 279377-6W November 13, 2017
Huang, Yolanda Ya-Chin Anesthesiology New York 274340-9W November 10, 2017
Iskander, Andrew John Anesthesiology Stony Brook 256187-6W November 10, 2017
Milord, Patrick Jo Anesthesiology Hollis 274088-4W November 24, 2017
Natale, Michael Angelo Anesthesiology Syracuse 281749-2W November 24, 2017
Nguyen, Diemthuy Nancy Anesthesiology Watertown 279314-9W November 6, 2017
Schaff, Jacob Elliott Anesthesiology New York 273666-8W November 13, 2017
Schieble, Thomas Martin Anesthesiology Mount Kisco 212750-4W November 6, 2017
Agyakwah, Michelle A. Chiropractic New York C12857-1W November 20, 2017
Collins, Stephen J. Chiropractic Brooklyn C04692-2W November 20, 2017
Geller, Brian Travis Chiropractic Kenmore C12969-4W November 20, 2017
Grantis, Tom Anastasis Chiropractic East Islip C12407-5B November 20, 2017
Lee, Robert Seungmin Chiropractic Syosset C12933-0B November 20, 2017
Marini, Justine Michelle Chiropractic Glen Cove C12761-5W November 1, 2017
Owen, Andrew James Chiropractic Clinton Corners C12984-3W November 20, 2017
Francescone, Mark Albert Diagnostic Radiology New York 245686-1B November 10, 2017
Garwood, Elisabeth Diagnostic Radiology New York 278729-9W November 6, 2017
Kline, Mitchell Jay Diagnostic Radiology New York 221732-1B November 21, 2017
Stancato-Pasik, Agata Diagnostic Radiology New York 170053-3B November 13, 2017
Howell, Gregory Allen Emergency Medicine Johnson City 279996-3W November 10, 2017
Orlando, Edward Emergency Medicine Port Jervis 230131-5B November 10, 2017
Schemel, Sue Ann Emergency Medicine Highland 220646-4W November 6, 2017
Weaver, Jacqueline Emergency Medicine Glenville 237968-3W November 21, 2017
Baumet, Krishna Family Practice New York 278896-6W November 16, 2017
Brownell, Brandon James Family Practice, Sports Medicine West Seneca 287359-4W November 10, 2017
Carle, Christine Marie Family Practice Mechanicville 286195-3B November 10, 2017
Conway, Justin Johnson Family Practice, Sports Medicine Middletown 284699-6B November 10, 2017
Esteban-Galindo, Manuel Rodrigo Family Practice West Harrison 247836-0B November 6, 2017
Farooqi, Mushahid Ahmed Family Practice Richmond Hill 281958-9B November 21, 2017
Garfield, Robert J. Family Practice Stamford 209421-7W November 21, 2017
Kranthi, Bhavana Family Practice New York 287857-7B November 21, 2017
Mayes-Beasly, Wendy Deloris Family Practice Galway 289513-4W November 21, 2017
Nave, Dennis John Family Practice Cicero 150777-1W November 21, 2017
Neilsen, Susan Aery Family Practice Buffalo 290869-7W November 6, 2017
Ross, Valerie Howarth Family Practice Vestal 180337-8W November 10, 2017
Martinez, Manuel Gastroenterology New York 217099-1I November 10, 2017
Mendelsohn, Robert Alan Gastroenterology Carmel 172727-0B November 6, 2017
Stein, Elizabeth M. General Preventive Medicine, Preventive Medicine-Public Health Ithaca 288565-5W November 10, 2017
Rehman, Syed Inam-Ur Geriatric Medicine Troy 241532-1W November 21, 2017
Abreu, Arlene Maria Internal Medicine Corning 196538-3W November 13, 2017
Baatarkhuu, Badamkhand Internal Medicine Cooperstown 287614-2W November 10, 2017
Chelagiri, Mariamma George Internal Medicine, Hospice and Palliative Medicine Stony Brook 234125-3W November 10, 2017
Dave, Vinnidhy Internal Medicine New York 275556-9W November 13, 2017
Kashif, Khawaja Muhammad Internal Medicine Johnson City 278620-0W November 10, 2017
Lu, Andrew Hong Internal Medicine Stony Brook 289954-0W November 10, 2017
Luthra, Monica Internal Medicine Snyder 285403-2B November 6, 2017
Savino, John Anthony, III Internal Medicine, Cardiovascular Disease East Setauket 263571-2W November 10, 2017
Albright, Karen Cretsinger Neurology Syracuse 291104-8W November 24, 2017
Maurer, Carine Waase Neurology Stony Brook 290294-8B November 10, 2017
Dominguez, Espaillat Anna Prisc Obstetrics/Gynecology Stony Brook 274919-0W November 21, 2017
Gossner, Gabrielle Obstetrics/Gynecology, Gynecologic Oncology Stony Brook 245647-3W November 10, 2017
Hamlet, Yonah J. Ophthalmology Far Rockaway 134709-5I November 16, 2017
Manns, Jack Eugene Ophthalmology Cooperstown 287947-6W November 6, 2017
Burzynski, Adam Olgierd Orthopedic Surgery Buffalo 285325-7W November 6, 2017
Campbell, Kirk Anthony Orthopedic Surgery New York 260400-7W November 22, 2017
Gitlin, Adam Wayne Orthopedic Surgery Middletown 267426-5W November 22, 2017
Halsey, June Chanyasulkit Orthopedic Surgery Bridgehampton 287463-4W November 24, 2017
Jegede, Kolawole Orthopedic Surgery New York 290224-5W November 10, 2017
Menga, Emmanuel Nganku Orthopedic Surgery Rochester 288799-0W November 21, 2017
Naik, Amish Atulbhai Orthopedic Surgery Middletown 273305-3W November 10, 2017
Schwarzkopf, Ran Orthopedic Surgery New York 253979-9B November 13, 2017
Shein, Daniel Orthopedic Surgery New York 279158-0W November 10, 2017
Tayag, Daniel Lim Orthopedic Surgery Corning 283309-3W November 10, 2017
Virk, Mandeep Singh Orthopedic Surgery New York 279569-8W November 22, 2017
Kraus, Dennis H. Otolaryngology New York 181635-4B November 10, 2017
McClain, Albert Austin, Jr. Otolaryngology Watertown 288937-6W November 10, 2017
Callahan, Margaret Hart Pediatrics Pittsford 285313-3W November 10, 2017
Sonagere, Matthew Bradley Physical Medicine/Rehabilitation Schenectady 286856-0W November 13, 2017
Vairavamurthy, Darshan Wimal Physical Medicine/Rehabilitation Middletown 269329-9W November 21, 2017
Tidd, Christopher Mark Psychiatry Rochester 220307-3W November 10, 2017
Hu, Bing Radiology – Diagnostic Radiology New York 289422-8W November 21, 2017
Latzman, Jonathan Marc Radiology – Diagnostic Radiology Syracuse 288219-9W November 24, 2017
Mohammed, Mujtaba Radiology – Diagnostic Radiology Syracuse 285360-4W November 24, 2017
Walter, William Roccos Radiology – Diagnostic Radiology New York 282912-5W November 21, 2017
Bannazadeh, Mohsen Surgery, General Vascular Surgery Stony Brook 279236-4W November 10, 2017
Cohn, Tyler David Surgery Stony Brook 287478-2W November 10, 2017
Dhir, Mashaal Surgery Syracuse 288292-6W November 24, 2017
Georgakis, Georgios V. Surgery Stony Brook 289527-4B November 10, 2017
Bodkin, John Joseph, III Urology Buffalo 263225-5W November 6, 2017
Peters, David L.              Urology Stony Brook 290239-3W November 10, 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.

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

 

Clarissa M. Rodriguez
Chair