Subject Numbers Regarding Health Provider Authorizations
July 10, 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 |
|---|---|---|---|
| Adzimah, Joseph J. | Brooklyn | 111106-1W | May 14, 2018 |
| Afilaka Aboaba Abiodun Asiokam | Turlock | 219481-9B | May 14, 2018 |
| Ahmad, Shafi | East Northport | 100869-7W | May 14, 2018 |
| Aiello, Thomas John | New City | S03218-5B | May 14, 2018 |
| Annadanam, Varalakshmi | Bronx | 206470-7B | May 14, 2018 |
| Arnitsis, Elias G. | Elmsford | C11661-8W | May 14, 2018 |
| Ball, Stanley M. | Brooklyn | 073027-5W | May 14, 2018 |
| Bitter Marsha | Bedford Hills | 146892-5W | May 14, 2018 |
| Bhattacharyya, Jadab K. | Buffalo | 111156-6W | May 14, 2018 |
| Borenstein, Neal Marshall | Portland | 167551-1B | May 14, 2018 |
| Brooks, Leslie | San Rafael | 092162-7W | May 14, 2018 |
| Brundage, Bart Allen | Fairport | C09751-1W | May 14, 2018 |
| Bulczak, Dariusz Piotr | West Pittston | 220495-6B | May 14, 2018 |
| Chiariello, Cynthia Carol | Staten Island | 143845-6W | May 14, 2018 |
| Chisholm, Joan Winsome | Rochester | 157500-0W | May 14, 2018 |
| Chung, Chung Taik | Syracuse | 119070-1W | May 14, 2018 |
| Das, Pradip Kumar | Bellerose | 187575-6W | May 14, 2018 |
| Di Bella, Agatino | Endwell | 086582-4W | May 14, 2018 |
| Durgin, Francis John | Fayetteville | 082538-0W | May 14, 2018 |
| Farhad, Mina | New York | 100168-4W | May 14, 2018 |
| Fastenberg, William | Brooklyn | 083746-8B | May 14, 2018 |
| Fitzgerald, Thomas Joseph | Boca Raton | C01892-1W | May 14, 2018 |
| Flemister, Peter Bernard | White Plains | 190404-4W | May 14, 2018 |
| Gangat, Yakub M. | Port Jefferson | 122118-3W | May 14, 2018 |
| Gitlow, Stanley Edward | Naples | 049459-1W | May 14, 2018 |
| Goldstein, Allen | Flushing | 097245-5W | May 14, 2018 |
| Gueli, Sarah Louise | New Hampton | 267072-7W | May 14, 2018 |
| Guglielmo, Alyssa Marie | Dobbs Ferry | C11224-5W | May 14, 2018 |
| Hanypsiak, Bryan T. | Riverhead | 232368-1W | May 14, 2018 |
| Hassan Jones, Lynn Bakeerah | Latham | 264697-4W | May 14, 2018 |
| Heller, Marc E. | Cooperstown | 122543-2W | May 14, 2018 |
| Huang, Stephen L. H. | Bronx | 109898-7W | May 14, 2018 |
| Islam, Abu Mohammed R. | East Elmhurst | 121552-4W | May 14, 2018 |
| Johe, David Howard | St. Marys | 150266-5W | May 14, 2018 |
| Kapadia, Samir | New York | 266593-3W | May 14, 2018 |
| Karno, Grant Miki | Las Vegas | 284400-9W | May 14, 2018 |
| Khafif, Rene | Suffern | 091233-7W | May 14, 2018 |
| Khalid, M. Atif | Frisco | 233108-0B | May 14, 2018 |
| Kharabi, Fereidoon | Encino | 123133-1W | May 14, 2018 |
| Kim, Suk Sik | Bay Shore | 110412-4W | May 14, 2018 |
| Labella, Karen Kinna | Rome | C04565-0W | May 14, 2018 |
| Leshner, Mark H. | Croton-on-Hudson | C03118-9W | May 15, 2018 |
| Marmel, Richard | Forest Hills | 140043-1W | May 15, 2018 |
| Meltzer, Murray A. | New York | 089876-7W | May 15, 2018 |
| Menon, Sreedevi N. | Kendall Park | 117678-3W | May 15, 2018 |
| Messing, Michael Lloyd | Hornell | 255927-6W | May 15, 2018 |
| Misra, Neelam | Austin | 234463-8B | May 15, 2018 |
| Moore, Francis Xavier | Bayville | 049046-6B | May 15, 2018 |
| Navarro, Jesus V. | Woodside | 172815-3W | May 15, 2018 |
| Nelson, Yvonne Sue | Stamford | 250104-7W | May 15, 2018 |
| Newhouse, Stanley | Brooklyn | 083819-3W | May 15, 2018 |
| Nolan, James P. | Buffalo | 090711-3W | May 15, 2018 |
| O'Brien, Edward John | Mountainside | C08943-5B | May 15, 2018 |
| Osnos, Robert John Bychowski | New York | 083978-7W | May 15, 2018 |
| Pachmakova, Weiss Ahinora | Moorestown | 083883-9W | May 15, 2018 |
| Pathy, Venkatachala | Madison | 114601-8W | May 15, 2018 |
| Pawlowski, Jadwiga Helena | Elmhurst | 119256-6W | May 15, 2018 |
| Perilli, John F. | Ossining | 116983-8W | May 15, 2018 |
| Peter, Sebastian A. | Brooklyn | 127078-4W | May 15, 2018 |
| Quittman, Stephen Ashley | Palm Beach Gardens | S03744-0B | May 15, 2018 |
| Raja, Muhammad Raqib | Naples | 107595-1W | May 15, 2018 |
| Rosenbluth, Michael Albert | New York | 079732-4W | May 15, 2018 |
| Rubenstein, Herbert Arthur | Mount Pleasant | 094906-5W | May 15, 2018 |
| Sarmiento, Vicente Dominado | Staten Island | 118802-8W | May 15, 2018 |
| Shiu, David | Middletown | 284420-7B | May 15, 2018 |
| Solomon, Sanford P. | Great Neck | 094295-3W | May 15, 2018 |
| Tan, Vivian Chua | Getzville | 211480-9B | May 15, 2018 |
| Torres, Carlos | Smithtown | 119423-2W | May 15, 2018 |
| Turley Baxter, Jesse, III | Charlotte | 268956-0W | May 15, 2018 |
| Volkman, David J. | Nissequoque | 163507-7W | May 15, 2018 |
| Waite, Malcolm Edward | Clifton Park | 071453-5W | May 15, 2018 |
| Woods, Robert E. | Youngstown | 106819-6W | May 15, 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