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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. 046-1018

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

Date: January 9, 2018

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
Harrison, Raymond Larchmont 083769-0W November 2, 2017
Buckwalter, Lawrence Ernest Loudonville 091444-0W November 2, 2017
Abebe, Mekdess Asamnew Buffalo 264601-6W November 20, 2017
Ahmadjian, Jonathan Michael Kingston 192100-6W November 20, 2017
Amorosi, Edward Lawrence New York 085147-7W November 20, 2017
Amundson, Gary Mark Syracuse 263159-6W November 20, 2017
Anuvat, Kevin Jukarin Syracuse 281075-2W November 20, 2017
Baladandapani, Parameshwari Bakersfield 252927-9W November 20, 2017
Bhargava, Dinesh Land O Lakes 128944-6W November 20, 2017
Birnbaum, Allan Miller Fayetteville 108997-8W November 20, 2017
Blackman, Noel E. St Albans 141896-1W November 20, 2017
Boka, Suzanna P. Bonita Springs 216489-5W November 20, 2017
Challa, Chaitanya K Melville 257926-6W November 20, 2017
Chang, Han Kyo North Tonawanda 125005-9W November 20, 2017
Cirelli, John Joseph S Glens Falls 082998-6W November 20, 2017
Corkill, Guy L. Webster 223709-7B November 20, 2017
Davis, George Fabyan Hudson 140596-8W November 20, 2017
Davuluri, Chaudhury Fayetteville 231420-1W November 20, 2017
Dehorn, Stephen John Norwhich 257974-6W November 20, 2017
Dobushak, Walter S. Honesdale 131740-3W November 20, 2017
Duval, Jacqueline Riverdale 107664-5W November 20, 2017
Elson, Clifford M. Niskayuna 121152-3W November 20, 2017
Farcon, Eduardo M. Paramus 121472-5W November 20, 2017
Finley, David H. White Plains 134276-5W November 20, 2017
Fischbein, Jeffrey Earl New York 173760-0B November 20, 2017
Fleeman, Jennifer Anne Rochester S15572-1B November 20, 2017
Gajwani, Bhagwan W. Vestal 113418-8W November 20, 2017
Gemelas, Alaina Huntington C12543-7W November 20, 2017
Ginsburg, Richard M Shrewsbury 134282-3W November 20, 2017
Ginsburg, Selig Moses New York 074846-7W November 20, 2017
Grant, Adam Peter Hewlett 274782-2W November 20, 2017
Green, Donald Robert Seminole 209854-9W November 20, 2017
Hixson, Frederick Peter Syracuse 144531-1B November 20, 2017
Huang, Su Ying Great Neck 144726-7W November 20, 2017
Jones, Vann Kinckle Chappaqua 100270-8W November 20, 2017
Kaplan, Larry Paul Cornwall 258110-6W November 20, 2017
Kaur, Kanwal Jit Syosset 147379-2W November 20, 2017
Kermani, Sirus Asky Delmar 197882-4W November 20, 2017
Khanuja, Ajit S. Troy 111344-8B November 20, 2017
Laplante, Justin Kyle Corning 273359-0W November 20, 2017
Lemberskiy, Liya Brooklyn 153170-6W November 20, 2017
Loturco, Jacob P. Pittsford C12063-6W November 20, 2017
Malone, William J. Saratoga Springs 248618-1W November 20, 2017
Markarian, Bedros Hilton Head Island 091981-1W November 20, 2017
Mastroianni, Anthony P. Schenectady 143679-9W November 20, 2017
Menegaz, Robert John New York 095923-9W November 20, 2017
Miller, Faith Anne Franklin C09472-4W November 20, 2017
Miller, Susan Gene Ithaca 201726-7W November 20, 2017
Mills, Christopher A. Midland 255829-4W November 20, 2017
Mirza, Adnan Johnson City 263090-3W November 20, 2017
Moriarty Diane Marie Huntington Station 189307-2W November 20, 2017
Murthy, Radhakrishna Plains 110241-7W November 20, 2017
Obeid, Nabeel Robert Ann Arbor 268605-3W November 20, 2017
Opam, Danielle Registre Little Neck 181627-1W November 20, 2017
Projansky, Dolores E. New Paltz S12028-7W November 20, 2017
Rahn, Elsa Kertesz Rockville Centre 095841-3B November 20, 2017
Raphael, Paul S. Bethlehem 111530-2W November 20, 2017
Rieder, Ronald Frederic Manhasset 083278-2B November 20, 2017
Ross, Lawrence R. Tucson 079632-6W November 20, 2017
Scanlon, Thomas Stephen Buffalo 106997-0W November 20, 2017
Schildkraut, Harvey S. Little Neck 084896-0W November 20, 2017
Schulman, Gerald Nashville 138197-9W November 20, 2017
Shapiro, Leonard Zelig Monsey 101096-6B November 20, 2017
Sheth, Mahendra R. Port Saint Lucie 113790-0W November 20, 2017
Smith, Gary C. Batavia 103968-4W November 20, 2017
Smith, Lawrence Homer Elliott Green Valley 076287-2W November 20, 2017
Spigel, G. Thomas Olean 135235-0W November 20, 2017
Talenti, David Anthony Sayre 194300-0W November 20, 2017
Talorico, Anthony P. Staten Island 128782-0W November 20, 2017
Thorne, Robert Bruce North Bergen 161429-6B November 20, 2017
Tropeano, Vincent Charles Staten Island 161156-5W November 20, 2017
Tula, Julio C. Middle Village 128788-7W November 20, 2017
Tuladhar, Pavitra Man Scottsdale 118207-0W November 20, 2017
Vibooshanan, Pandian Paul El Paso 186395-0W November 20, 2017
Weinstein, David Brian Melville C04877-9W November 20, 2017
Weyer, Allison Williamsville 280948-1W November 20, 2017
Witanowski, Stephen John Commack 159457-1W November 20, 2017
Wittstein, Jocelyn Ross Cooperstown 256053-0W November 20, 2017
Yadanza, James Michael Punta Gorda C09601-8W November 20, 2017
Yeon, Hyung Je Hopewell Junction 107596-9W November 20, 2017
Youn, Hyung Joong Huntington Beach 108298-1W November 20, 2017
Yusaf, Nadia Fatima Rochester 265135-4W November 20, 2017
Zechnowitz, Hal M. Dix Hills C01954-9B November 20, 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