Subject Numbers Regarding Health Provider Authorizations
February 12, 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 |
|---|---|---|---|
| Adamson, Dale Brian | Melbourne | 212658-9W | December 11, 2017 |
| Adeeb, Nagui Emile | Medina | 114547-3W | December 11, 2017 |
| Ahmed, Saeed | Cooperstown | 273741-9W | December 11, 2017 |
| Amatrudo, Anthony Francis | Franklin Square | C01354-2W | December 11, 2017 |
| Ashby, Dallen Ben | Jamestown | 257914-2B | December 11, 2017 |
| August, Deborah Ann | Pittsfield | 199319-5W | December 12, 2017 |
| Bahr, Gerald S. | Celebration | 116250-2W | December 11, 2017 |
| Bell, David S. | Fairport | 132862-4W | December 11, 2017 |
| Bernardo, Diosdado L. | Bayside | 155998-8W | December 11, 2017 |
| Bettini, Guglielmina | New York | 113310-7W | December 11, 2017 |
| Bloom, Scott William | Staten Island | 257157-8W | December 11, 2017 |
| Boolukos George Peter Nicholas | Plattsburgh | 076054-6W | December 11, 2017 |
| Carr, Brian James | Carthage | 254960-8I | December 11, 2017 |
| Christensen, Steven Lynn | Seneca | 158105-7W | December 11, 2017 |
| Cokinos, Stephan G. | West Islip | 129950-2W | December 11, 2017 |
| Colp, Charlotte Rappaport | New York | 078311-8W | December 11, 2017 |
| D’Alessandro, Alessandro | Port Jefferson | 096114-4W | December 11, 2017 |
| Davidson, Morton I. | New York | 084267-4W | December 11, 2017 |
| Deutsch, Joseph E. | Pomona | 120473-4B | December 12, 2017 |
| Donis, Joshua Adam | New York | 210657-3I | December 11, 2017 |
| Duperval, Jacques | Brooklyn | 182104-0B | December 11, 2017 |
| Falanga, Richard F. | Oswego | C00099-4B | December 11, 2017 |
| Ginsberg, Stanley Arthur | Palm Beach Gardens | 085077-6W | December 11, 2017 |
| Guerrero, Gamoso Milagros | Rhinebeck | 123101-8W | December 11, 2017 |
| Haar, Jean George | Buffalo | 079546-8B | December 11, 2017 |
| Hamer, Harold Alec | New York | 096460-1W | December 12, 2017 |
| Hanna, Ingy Samir | Watertown | 276417-3W | December 12, 2017 |
| Hellreich, Alfred | New York | 084301-1W | December 11, 2017 |
| Holtzapple, Philip G. | Syracuse | 133319-4W | December 11, 2017 |
| Huggins Jennifer Lynn | Cincinnati | 172000-2W | December 11, 2017 |
| Isaacson, Sheldon A. | Jupiter | 169384-5W | December 11, 2017 |
| Izzo, Brian James John | Saratoga Springs | 142975-2W | December 11, 2017 |
| Jaffrey, Ira Sanford | Glenwood Springs | 097199-4W | December 12, 2017 |
| Jarosz, John Raymond, Jr. | Rome | C11243-5W | December 12, 2017 |
| Jonas, Stanislaw | New York | 115801-3W | December 12, 2017 |
| Julian, M Rose | Reston | C03740-0W | December 11, 2017 |
| Kanarek, Lewis Bruce | Flushing | 143485-1W | December 12, 2017 |
| Kantor, Gary A. | Long Beach | C04360-6W | December 12, 2017 |
| Khachadurian, Vartkes | Franklin Square | 093240-0B | December 12, 2017 |
| Klein, Bernard Robert | Forest Hills | 102133-6W | December 12, 2017 |
| Klinger, Allan Jay | Longboat | 183521-4W | December 11, 2017 |
| Kutin, Neil David | Old Westbury | 109722-9W | December 11, 2017 |
| Laskin, Leona C. | Philadelphia | 070771-1W | December 11, 2017 |
| Lee, Bum Suck | Laguna Woods | 111683-9W | December 11, 2017 |
| Lee, Keun Yong | East Amherst | 130040-9B | December 11, 2017 |
| Lehmann, Robert Aaron | Goshen | 248885-6W | December 11, 2017 |
| Levandusky, Ronald S. | Freeland | 111867-8W | December 11, 2017 |
| Lin, Sophia Vivian | East Setauket | C11650-1W | December 11, 2017 |
| Luczycki, Stephen Matthew | Glastonbury | 224045-5W | December 11, 2017 |
| Malseptic, Ronald George | Plattsburgh | 147599-5W | December 11, 2017 |
| Marks, Alfred William | Lynbrook | 081040-8W | December 11, 2017 |
| Matloff, Martha S. | Geneva | 107305-5W | December 11, 2017 |
| Menegas, Jeffrey G. | Staten Island | 190330-1W | December 11, 2017 |
| Menia, Todd Gene | Glenham | 208183-1W | December 11, 2017 |
| Merchant, Munir Suleman | Kennedale | 232160-2W | December 11, 2017 |
| Moreano, Augusto Guillermo | Smithtown | 096350-4W | December 11, 2017 |
| Mormino, Joseph | Staten Island | 114113-4W | December 11, 2017 |
| Munter, Heinz | White Plains | 091845-8W | December 11, 2017 |
| Murphy, Suzanne Amy | Old Lyme | C07566-5B | December 11, 2017 |
| Nash, Marvin Joseph | Roslyn | 101850-6W | December 11, 2017 |
| Neerukonda, Anu Radha | Stony Brook | 281285-7W | December 11, 2017 |
| Nobler, Myron Paul | Fort Lee | 081615-7W | December 11, 2017 |
| Oates, Theodore Kensell, II | Rochester | 114237-1W | December 11, 2017 |
| Oo, Aung Naing | Rock Hill | 281526-4W | December 11, 2017 |
| Owen, Michael P. | Henderson | 125796-3W | December 11, 2017 |
| Ozolins, Salma Arta Ingrida | Scotia | 175540-4W | December 11, 2017 |
| Pasternak, Robert | Boca Raton | 248483-0W | December 11, 2017 |
| Peltz, Leon | Sag Harbor | 094568-3W | December 11, 2017 |
| Saladin, Jose L. | Valley Stream | 128746-5W | December 11, 2017 |
| Salvaggio, Heather Leanne | Milford | 265454-9W | December 11, 2017 |
| Seong, Neil Naksul | Melville | 165368-2W | December 11, 2017 |
| Sette, Ducati Dominic J. | Falmouth | 097593-8W | December 11, 2017 |
| Shamaskin, Joel Alan | Penfield | 150580-9W | December 11, 2017 |
| Singh, Raena Gurparam | Buffalo | 281638-7B | December 11, 2017 |
| Solano, Charles R. | Yonkers | C01636-2B | December 11, 2017 |
| Stewart, Scott | Rochester | 116799-8W | December 11, 2017 |
| Sutaria, Bhagwandas L. | Lakewood | 119406-7B | December 11, 2017 |
| Varnis, Charlene Barbara | Fairport | 193226-8W | December 11, 2017 |
| Vetere, Patrick F. | Garden City | 125583-5W | December 11, 2017 |
| Viener, Seymour Jerome | Pittsford | 098146-4W | December 11, 2017 |
| Villamon Luis Froilan | Fishkill | 108290-8W | December 11, 2017 |
| Wilson, Joseph Paul | Williamson | C12549-4B | December 11, 2017 |
| Wirth, Carl R. | Slingerlands | 099341-0B | December 11, 2017 |
| Wood, Margaret Hicks | New York | 202962-7W | December 11, 2017 |
| Worden, Florentine R. | Auburn | 070774-5W | December 11, 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