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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. 046-1077

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

Date: July 10, 2018

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
Arora, Komal Anatomic Pathology, Clinical Pathology, Blood Banking/Transfusion Medicine Vestal 291360-6W June 29, 2018
Choi, Jason Jae Anesthesiology Rye Brook 264923-4W June 11, 2018
Desai, Pratik Arvindkumar Anesthesiology Syracuse 286869-3W June 29, 2018
Hung, Susan Lien Anesthesiology Scarsdale 274911-7W June 22, 2018
Jamil, Shibrah Maryam Anesthesiology Flushing 215463-1B June 22, 2018
Johnson, Patrick Robert Anesthesiology New York 284974-3B June 22, 2018
Khan, Muzammil Usman Anesthesiology Islandia 288467-4W June 29, 2018
Plachta, Waldemar Wojciech Anesthesiology Long Island City 179279-5W June 29, 2018
Vatakencherry, Abe Joseph Anesthesiology, Pain Management New York 250594-9W June 14, 2018
Wu, Christopher Lee Anesthesiology New York 183194-0W June 29, 2018
Yim, Peter D. Anesthesiology New York 279958-3W June 29, 2018
Weinstein, Velez Mara Chaye Dermatology Pittsford 284319-1W June 22, 2018
Ball, Gregory Raymond Diagnostic Radiology Orchard Park 267538-7W June 18, 2018
Bartolotta, Roger J. Diagnostic Radiology New York 246872-6W June 28, 2018
Byrns, Kory Andrew Diagnostic Radiology, Neuroradiology Beechhurst 280998-6W June 29, 2018
Das, Krishna Kumar Diagnostic Radiology Poughkeepsie 274277-3W June 6, 2018
Fitzgerald, John Michael Diagnostic Radiology Orchard Park 218039-6W June 19, 2018
Heller, Samantha Diagnostic Radiology New York 248850-0W June 28, 2018
Hu, Jessica Yung Chung Diagnostic Radiology, Neuroradiology New York 259276-4B June 29, 2018
Kazam, James Jacob Diagnostic Radiology New York 262585-3W June 29, 2018
Reichel, Michael Aaron Diagnostic Radiology, Neuroradiology New York 256753-5W June 29, 2018
Weiss, Stan Lee Diagnostic Radiology Rochester 157423-5W June 6, 2018
Van Amerongen, Robert Howell Emergency Medicine Cedarhurst 174703-9B June 22, 2018
Wheeler, Jeffrey Emergency Medicine Amityville 213785-9W June 19, 2018
Borowski, Lauren Elizabeth Family Practice, Sports Medicine New York 288609-1B June 22, 2018
Cheek, Sarah Aisling Family Practice Stony Brook 287810-6W June 22, 2018
Fitzgerald, Daniel Joseph Family Practice Catsill 285860-3W June 6, 2018
Galilova, Lada Family Practice Brooklyn 256092-8W June 5, 2018
Guest, Simone Keisha Family Practice Albany 259196-4W June 7, 2018
Khanna, Neha Family Practice Lake Success 264088-6W June 6, 2018
Lin, Xin Fu Family Practice Stony Brook 287960-9B June 29, 2018
Marici, Kathleen Bulovas Family Practice Hudson 213768-5W June 6, 2018
Murphy, William Patrick Family Practice Chatham 204465-9W June 6, 2018
Pregont, Scott Michael Family Practice, Sports Medicine Hudson 246069-9W June 6, 2018
Reiter, Braden James Family Practice Buffalo 179939-4B June 19, 2018
Riskevich, Michael Family Practice Brooklyn 208815-1B June 28, 2018
Samedov, Nikolay Family Practice Hensonville 244913-0W June 6, 2018
Ahdoot, Allen Gastroenterology Lake Success 229284-5W June 6, 2018
Arevalo, Diana C. Internal Medicine New Rochelle 257679-1W June 22, 2018
Ayala, Jenny Soledad Internal Medicine, Hospice and Palliative Medicine West Harrison 267259-0W June 22, 2018
Bella, Saif Ali Internal Medicine Johnson City 290098-3W June 29, 2018
Caballes, Frederick Ryan Michae Internal Medicine Ithaca 266026-4W June 29, 2018
Chua, Abigail Tan Internal Medicine, Pulmonary Disease Stony Brook 292589-9B June 29, 2018
Dubin, Michael Internal Medicine Carmel 208056-2W June 20, 2018
Ferdaus, Akash Internal Medicine Brooklyn 266730-1W June 29, 2018
Gupta, Jessica Internal Medicine Webster 289944-1W June 20, 2018
Hadi, Nicole C. Internal Medicine Yonkers 260254-8W June 22, 2018
Isaacs, Andrea Gail Patrice Internal Medicine, Pulmonary Disease, Critical Care Medicine Pomona 212109-3W June 8, 2018
Jaitovich, Adolfo Ariel Internal Medicine, Pulmonary Disease, Critical Care Medicine Albany 275633-6W June 22, 2018
Jones, Zachary Allyn Internal Medicine Johnson City 290601-4W June 29, 2018
Kessler, Matthew C. Internal Medicine Brewster 288131-6W June 22, 2018
Khullar, Neha Internal Medicine Hudson 271705-6W June 6, 2018
Monrroy, Prado Maricio Ricardo Internal Medicine, Nephrology Albany 281624-7W June 20, 2018
Oliva, Diosmary A. Internal Medicine, Infectious Diseases Glendale 209949-7W June 7, 2018
Ong, Eric Seen Han Internal Medicine Cooperstown 292432-2W June 29, 2018
Peredo-Wende, Ruben Alfredo Internal Medicine, Rheumatology Albany 285364-6W June 20, 2018
Quidort, Aaron John Internal Medicine, Pediatrics Castleton on Hudson 289402-0W June 13, 2018
Romero, Carla Maria Internal Medicine, Endocrinology, Diabetes and Metabolism Lake Success 257258-4W June 6, 2018
Santana, Calie Internal Medicine White Plains 234774-8W June 22, 2018
Schulman-Marcus, Joshua Internal Medicine, Cardiovascular Disease Albany 258720-2W June 18, 2018
Serynek, Stephen Brian Internal Medicine, Cardiovascular Disease New Hyde Park 247440-1W June 7, 2018
Strassberg, Peter Internal Medicine Nanuet 106427-8B June 29, 2018
Sudar, Singh Prabahar Cynthia Internal Medicine Bronx 282698-0B June 19, 2018
Hongalgi, Krishnakumar Dundappa Nephrology Albany 267018-0W June 18, 2018
Bhalla, Tarun Neurological Surgery Rochester 283235-0W June 29, 2018
Siddiqui, Anila Qaiser Neurology Old Westbury 242229-3B June 29, 2018
Zhou, Jin Neurology Little Neck 292348-0W June 20, 2018
Lefkovits, Andrew Obstetrics/Gynecology Hudson 148296-7W June 7, 2018
Ellant, Jonathan Philip Ophthalmology New York 195706-7W June 28 2018
Kohara, Eunice Maya Ophthalmology Brooklyn 258651-9W June 28, 2018
Nickel, Jonathan Aaron Ophthalmology Gloversville 221925-1W June 15, 2018
Savetsky, Michael Ophthalmology Smithtown 264883-0W June 29, 2018
Karelsky, Sveta Otolaryngology Pittsford 262317-1W June 20, 2018
Schneider, Glenn Todd Otolaryngology Rochester 285109-5W June 20, 2018
Daly, Ronald Alexander Orthopedic Surgery Brooklyn 288975-6W June 20, 2018
Daoust, Susan Mae Orthopedic Surgery Buffalo 293199-6B June 19, 2018
Girardi, Federico Pablo Orthopedic Surgery New York 237741-4W June 22, 2018
Gomoll, Andreas Hans Orthopedic Surgery New York 291527-0W June 29, 2018
Leucht, Philipp Orthopedic Surgery New York 276510-5B June 29, 2018
Pipitone, Paul Simon Orthopedic Surgery Brooklyn 256250-2B June 28, 2018
Roberts, Susanne Meredith Orthopedic Surgery, Hand Surgery New York 283339-0W June 7, 2018
Whyte, Graeme Philp Orthopedic Surgery New York 277321-6W June 28, 2018
Gebremichael, Amine Fessehagior Pediatrics Wilton 272530-7W June 22, 2018
Abayev, Yana Physical Medicine/Rehabilitation Bronx 282916-6W June 8, 2018
Patel, Faguna Chandrakant Physical Medicine/Rehabilitation Melville 253578-9B June 29, 2018
Zhang, Xiaoliang Physical Medicine/Rehabilitation Elmhurst 223483-9W June 4, 2018
Chamani, Robert Podiatry Brooklyn P06444-5W June 20, 2018
Chiodo, Warren Anthony Podiatry Flushing P06849-5W June 20, 2018
Crable, Kevin J. Podiatry Syracuse P06866-9B June 20, 2018
Levine, Roger Gary Psychiatry Syracuse 172860-9W June 13, 2018
Wagner, Diane Psychiatry Islip 182713-8I June 22, 2018
Haywood, Dana Marie Psychology New York S20627-6W June 18, 2018
Hernandez, Ernesto Psychology Astoria S22092-1B June 18, 2018
Mihaila, Christine J. Psychology New York S17224-7B June 18, 2018
Moor, Tarryn Raquel Psychology White Plains S21200-1W June 18, 2018
Salandanan, Krystel Topacio Psychology New York S20951-0W June 18, 2018
Trout, Tara Kristyl Psychology New York S22406-3W June 18, 2018
Mohabir, Anthony Dennis Radiology – Diagnostic Radiology Poughkeepsie 272842-6W June 13, 2018
Williams, Danielle Schneika Radiology – Diagnostic Radiology Poughkeepsie 287715-7W June 13, 2018
Astorga, Rakel Maria Surgery Hudson 249738-6W June 6, 2018
Martone, Stephan Louis Surgery, Surgical Critical Care Albany 290183-3W June 8, 2018
Yu, Patty Sun Surgery Oceanside 279423-8W June 7, 2018
Atlas, Ian Urology Hudson 164064-8W June 6, 2018
Belarmino, James Michael Urology Latham 292891-9W June 8, 2018
Danziger, Marc David Urology Cortlandt Manor 196895-7B June 29, 2018
Gerstenbluth, Robert Eric Urology Schenectady 232057-0W June 18, 2018
Han, Christopher Sejong Urology Middletown 294186-2W June 29, 2018
Loden, Gary Blaine Urology Middletown 230013-5W June 15, 2018
Melamed, Daniel Evan Urology Hudson 175160-1W June 7, 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.

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

 

Clarissa M. Rodriguez
Chair