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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. 046-1057

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

Date: April 13, 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
Ferrazzo-Weller, Marissa Gabrie Pearl River 264928-3B February 6, 2018
Amabile, Anthony Buffalo C03781-4W February 12, 2018
Apone, Joseph Auburn 171805-5W February 12, 2018
Balla, Somasekhara R. Roanoke Rapids 139672-0W February 12, 2018
Baltsas, John Marios Surfside Beach C08524-3B February 12, 2018
Barbezat, Maurice Yonkers 085144-4W February 12, 2018
Barone, Robert Michael Orchard Park 087975-9B February 12, 2018
Battaglia, Catherine Foos Honeoye Falls 170715-7W February 12, 2018
Bershader, Mitchel Harris Highland C03694-9W February 12, 2018
Bloch, Raphael S. Stamford 101808-4W February 12, 2018
Boynton, James R. Rochester 119749-0B February 12, 2018
Bufton, Kelly Anne New York 264546-3W February 12, 2018
Caporaso, Gregg Louis Mount Kisco 202300-0B February 12, 2018
D'Anna, Robert William Niagara Falls C12581-7B February 12, 2018
Degiacomo, Marie Elaina Brooklyn C03327-6W February 12, 2018
Delbalso, Angelo M. East Amherst 139638-1W February 12, 2018
Dinh, Vu Lowville 255566-2W February 12, 2018
Douglas, Montgomery Bernard Farmington 171089-6W February 12, 2018
Dow, Christopher Conron Hampden 240113-1W February 12, 2018
Felsenstein, Sidney Port Washington P02037-1B February 12, 2018
Fernando, Leonides T. Schenectady 132926-7W February 12, 2018
Frishman, Jack Jonathan White Plains 075174-3W February 12, 2018
Fuertes, Diego Durana Utica 109229-5W February 12, 2018
Ventura, Charlanne Alington C09599-4B February 12, 2018
Goldenberg, William D. Stony Brook 253213-3W February 13, 2018
Grabo, Frederick Harrison Rome 072903-8W February 12, 2018
Greenwald, Bob Englewood 124078-7W February 12, 2018
Gussoff, Bernard David Brooklyn 076691-5W February 12, 2018
Hatti, Vikram Mysore Fullerton 233427-4I February 12, 2018
Hyderally, Hatim Kinnelon 108193-4W February 12, 2018
Kang, Cheng-An Staten Island 161328-0W February 12, 2018
Kanth, Pooja Madisetty East Northport 276409-0W February 12, 2018
Kantor, Howard L. Huntington Station 070315-7B February 12, 2018
Khanna, Anish Kumar Ocala 225438-1W February 12, 2018
King, Steven J. Roslyn Harbor 133039-8W February 12, 2018
Kolanko, Nicholas Michael Stony Brook 273784-9W February 12, 2018
Kreps, Sidney I. New York 036935-5W February 12, 2018
Kumar, Anubhav Stony Brook 281999-3W February 12, 2018
Lane, Bernard Joshua Jersey City 275753-2W February 12, 2018
Lemay, Linda Jean Cazenonia 166976-1W February 12, 2018
Lentini, Salvatore Forest Hills C07614-3W February 12, 2018
Leone, Richard Arnold Allegany 091050-5W February 12, 2018
Levine, Todd Michael New York C07704-2B February 12, 2018
Lew, Ewa Maria West Pittston 217014-0W February 12, 2018
Lopez Del Castillo, Alfredo N. Staten Island 113575-5W February 12, 2018
Lopez Ovejero, Jorge A. New York 111408-1W February 12, 2018
Ma, Shui Tung Middle Village 123162-0W February 12, 2018
Marasigan, Antonio V. Syracuse 113597-9W February 12, 2018
Mazer, Cynthia New York 191087-6W February 12, 2018
Meyers, Morton Allen East Setauket 084315-1W February 12, 2018
Mushlin, Alvin I. New York 105849-4W February 12, 2018
Narang, Ravinder M. Totowa Boro 112362-9W February 12, 2018
Narayan, Ramaiyer L. Upper Saddle River 132767-5W February 12, 2018
Nedunchezian, Deeptha New York 140066-2W February 12, 2018
Nuli, Balakrishna Tucker 113659-7W February 12, 2018
Omar, Nayyer Glenview 138143-3W February 12, 2018
Onorato, Anton R. Mahopac 125212-1W February 12, 2018
Overby, M Chris Great Neck 147313-1W February 12, 2018
Pacos, Andrew M. Wake Forest 182631-2W February 12, 2018
Paz, Rafael S. Garfield 134108-0W February 12, 2018
Press, Joseph H. Rockaway Park 039477-5W February 12, 2018
Rainey, Mark Anthony Clarks Summit 168540-3B February 12, 2018
Ralston, Thomas Michael Urbandale 211721-6W February 12, 2018
Reddy, Padmavathi Englewood Cliffs 142056-1W February 12, 2018
Rocco, Peter John Hicksville C02540-5B February 12, 2018
Roggemann, Dennis J. Mountainside 131180-2W February 12, 2018
Roven, Robert B. Irvington 081640-5W February 12, 2018
Ruiz, Armando New York 136883-6W February 12, 2018
Sahukar, Satya P. Albion 105951-8W February 12, 2018
Schmer, Joseph Yakima 158885-4W February 12, 2018
Segal, Barbara A. Buffalo 154007-9W February 12, 2018
Shafran, Morton Palm Beach Gardens 073368-3B February 12, 2018
Shah, Neil Pravin Chatham 250791-1B February 12, 2018
Shah, Rajiv K. New York 273890-4W February 12, 2018
Sirlin, Andrew L. Plainview C04492-7W February 12, 2018
Slaughter, Mary E. Bronx C10604-9W February 12, 2018
Spataro, Robert F. Naples 120444-5W February 12, 2018
Stavola, Frances P. New York 071685-2W February 12, 2018
Storch, Alan E. Boynton Beach 124861-6I February 12, 2018
Subramanian, Valavanur A. New York 111604-5W February 12, 2018
Tardiff, Kenneth J. New York 124890-5W February 12, 2018
Taylor-Kamara, Haja Bambie Jersey City C12026-3W February 13, 2018
Teigman, Michael D. Hewlett 136367-0W February 13, 2018
Thanik, Jaimala Pittsford 121860-1W February 13, 2018
Vadlamudi, Krishna Kumar Marcy 111069-1W February 13, 2018
Verhagen, Margaret Ella Osprey C04623-7I February 13, 2018
Wahl, Gary W. Rochester 145159-0W February 13, 2018
Was, Andrew Richard New York C03450-6W February 13, 2018
Watson, Thomas Jack Rochester 204470-9W February 13, 2018
Wistreich, Peter M. Nyack 150164-2W February 13, 2018
Woo, Chang Woo Flushing C10435-8B February 13, 2018
Yuen, Annie Flushing 265279-0W February 13, 2018
Zipf, Marie Therese Smithtown 075298-0W February 13, 2018
Khavash, Alexander Hewlett C10592-6W February 20, 2018
Riggs, Malcolm McBurney Palmyra 194654-0W February 20, 2018

* 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