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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. 046-1065

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

Date: May 2, 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
Khariton, Aleksandr Lvovich Forrest Hills 210625-0W March 1, 2018
Arcaya, Jose Manuel New York S07907-9B March 5, 2018
Amler, David Harris White Plains 108414-4W March 13, 2018
Asa, Benedicto L. Mount Vernon 137926-2W March 13, 2018
Bancroft, Kari Kopko Williamsville 283434-9W March 13, 2018
Beauboeuf, Alix White Plains 119031-3W March 13, 2018
Beer, Paul Marius Slingerlands 154500-3W March 13, 2018
Bergquist, Kaaren Nyhus Rancho Santa Fe 136431-4W March 13, 2018
Betit, Steven Kyle Pittsburgh 278752-1W March 13, 2018
Bitter, J. Jason Melville 132142-1W March 13, 2018
Blasczak, David Daniel Clyde 142005-8W March 13, 2018
Bleifer, Stanley Walter Long Beach 091407-7B March 13, 2018
Bochkarev, Bela Y. Framingham 156487-1W March 13, 2018
Boyle, Shelly Ann Cheektowaga C08554-0W March 13, 2018
Busch, Linda Ellen Mount Arlington S12048-5B March 13, 2018
Camarda, Jack, Jr. Franklin Square C00041-6W March 13, 2018
Chang, Joann Littleton 267568-4W March 13, 2018
Cunningham, J. Richard Binghamton 122053-2W March 13, 2018
Davidowitz, Robert Andrew New York C11138-7W March 13, 2018
Delbroccolo, Jennifer Mazurkiew Melville 231702-2W March 13, 2018
Deoquino, Rodolfo D. Holtsville 112835-4W March 13, 2018
Dhamoon, Satwant K. New York 123489-7W March 13, 2018
Easley, Robert M., Jr. Webster 089608-4W March 13, 2018
Esposito, Russell J. Latham 180794-0W March 13, 2018
Falkson, Eric Jacob Julius New York 081664-5W March 13, 2018
Farrell, Timothy Paul MC Lean 175050-4W March 13, 2018
Friedman, Gary Ross New Hyde Park 142901-8W March 13, 2018
Geehr, Robert B. Albany 232315-2W March 13, 2018
Giraldo, Jaime A. Fort Lee 102517-0W March 13, 2018
Glickman, Samuel Reuben Rochester 265576-9W March 13, 2018
Greenberg, I. Melbourne Roslyn Estates 049906-1I March 13, 2018
Grodin, Elizabeth Renee New York C12589-0W March 13, 2018
Haake, P. William Scottsville 097375-0B March 13, 2018
Hallman, Randy Baltimore C11638-6W March 13, 2018
Harnes, Jack Russell Pawling 044950-4W March 13, 2018
Harris, Jay Evans Princeton 093440-6W March 13, 2018
Hermann, Luke Kennan New York 224526-4W March 13, 2018
Hilty, Denice Genevieve New York C09937-6W March 13, 2018
Hussain, Ahmed Kennett 140962-2W March 13, 2018
Irwin, Robert W. Troy 129548-4B March 13, 2018
Jones, Thelma Scarsdale 092234-4W March 13, 2018
Karnik, Ashok Manohar Davenport 189952-5W March 13, 2018
Kelly, Jennifer J. Syracuse 216420-0W March 13, 2018
Kessler, Debra K. New York C04535-3W March 13, 2018
Kim, Zungwan Rye 111355-4W March 13, 2018
Koczman, Jacob John Hudson 274908-3W March 13, 2018
Kotkin, Irvin Lee Roslyn 153431-2W March 13, 2018
Lajam, Fouad E A New York 113542-5W March 13, 2018
Lateiner, Lloyd W. Lake Worth 123827-8W March 13, 2018
Lazar, Paul Alan New York P05355-4W March 13, 2018
Lempert, Neil Delmar 084228-6W March 13, 2018
Lesh, Ryan Edwin Melville 213522-6W March 13, 2018
Lessinger, Eric Trumansburg 116788-1W March 13, 2018
Malkin, Spencer Jason Boca Raton C08635-7W March 13, 2018
Malkin, Steven A. Vestal 127643-5W March 13, 2018
Marin, Edgar L. Melville 131675-1B March 13, 2018
Mathur, Tej S. Bronx 133170-1W March 13, 2018
Mayer, Theodor Karl Pittsford 139022-8W March 13, 2018
Mehar, Gurinder Singh Cornwall 167546-1W March 13, 2018
Menneg, Wendy Jean Cranford C096547W March 13, 2018
Miller, Ruth A. Valley Stream 045301-9W March 13, 2018
O'Dwyer, Rebecca Syracuse 275696-3W March 13, 2018
Padula, Guido Brooklyn 085614-6W March 13, 2018
Pandya, Yagnik Krishnakant Natick 274567-7W March 13, 2018
Parekh, Harshad Staten Island 109536-3W March 13, 2018
Pearl, Robert M. Briarcliff Manor C02811-0B March 13, 2018
Petro, Rita S. Spencerport S12833-0B March 13, 2018
Pismarov, Michael Thomas Orchard Park C12141-0B March 13, 2018
Rachlin, Stephen Leonard New Rochelle 092255-9W March 13, 2018
Rich, Sharon Bronx C08734-8B March 13, 2018
Rizk, Christine Rida Stony Brook 239988-9W March 13, 2018
Rockwell, Bruce H. Lakewood 187875-0W March 13, 2018
Rodnick, Alexander Henry Elmsford C12593-2W March 13, 2018
Rubano, Angelo R. Brooklyn 126664-2W March 13, 2018
Ruoff, Michael New York 092388-8W March 13, 2018
Sampathkumaran, Rajyashree Sebring 137326-5W March 13, 2018
Shamaskin, Ann R. Rochester 150509-8W March 13, 2018
Shragowitz, Jacob Monsey 047548-3W March 13, 2018
Silverberg, J. William White Plains 074295-7W March 13, 2018
Sirota, David King Alpine 086294-6W March 13, 2018
Starecki, Liza Melville 273945-6W March 13, 2018
Sumner, Philip New York 075820-1W March 13, 2018
Taffuri, Vincent M., Jr. Airmont C03022-3W March 13, 2018
Van Damme, Alexander Juliaan Rochester 226927-2W March 13, 2018
Vinsel, Paul Joseph West Bathe 188269-5W March 13, 2018
Weiss, Jerome A. Penfield 134580-0W March 13, 2018
Wieder, Sheldon Lewis New York 101867-0W March 13, 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