Subject Numbers Regarding Health Provider Authorizations
August 8, 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 |
|---|---|---|---|---|
| Bennici, Lesley Anne | Anesthesiology | Stony Brook | 279323-0W | July 16, 2018 |
| Hawson, Alexander Yao | Anesthesiology | Schenectady | 293350-5W | July 19, 2018 |
| Kaplan, Irem | Anesthesiology | Williamsville | 292487-6W | July 23, 2018 |
| Marchetti, Allen | Anesthesiology | New York | 203901-4W | July 6, 2018 |
| McConn, Ryan David | Anesthesiology | North Syracuse | 288336-1W | July 19, 2018 |
| Michel, Shannon Scully | Anesthesiology | Syracuse | 294005-4W | July 20, 2018 |
| Webb, Joseph Felton | Anesthesiology | Buffalo | 293687-0W | July 19, 2018 |
| Singh, Rajiv | Cardiovascular Disease, Interventional Cardiology | Stony Point | 230667-8W | July 16, 2018 |
| Sridhara, Banglore Sitaramiah | Cardiovascular | Stony Point | 213781-8W | July 18, 2018 |
| Wadhwani, Jai G. | Cardiovascular | Buffalo | 194482-6W | July 26, 2018 |
| Marton, Freddie M. | Child Neurology | Cedarhurst | 175797-0B | July 9, 2018 |
| Cosey, Yasmin Yneisha | Chiropractic | Briarwood | C12848-0B | July 3, 2018 |
| Destito, Nicholas A. | Chiropractic | Rome | C12944-7W | July 3, 2018 |
| Fusco, Kristin Danielle | Chiropractic | Syracuse | C12949-6W | July 12, 2018 |
| Leuppie, Joshua G. | Chiropractic | Buffalo | C13079-1W | July 3, 2018 |
| Munassar, Mohamed Jamil | Chiropractic | Buffalo | C11908-3B | July 3, 2018 |
| Shekhter, Edward | Chiropractic | Brooklyn | C12935-5W | July 3, 2018 |
| Skolnick, Mitchell B. | Chiropractic | Saugerties | C04416-6B | July 18, 2018 |
| Borukhov, David | Diagnostic Radiology | Rego Park | 270938-4W | July 2, 2018 |
| Boyajian, David Ashod | Diagnostic Radiology | New York | 241469-6W | July 24, 2018 |
| Fourati, Samy Sophien | Diagnostic Radiology | Brooklyn | 201278-9W | July 18, 2018 |
| Goldstein, Janet L. | Diagnostic Radiology | Bethpage | 208407-7W | July 9, 2018 |
| Jandzinski, Dana I. | Diagnostic Radiology | Orchard Park | 236988-2W | July 19, 2018 |
| Kranz, Anca Oana | Diagnostic Radiology | Old Westbury | 220097-0W | July 9, 2018 |
| Levin, Galina | Diagnostic Radiology | Mineola | 248080-4W | July 9, 2018 |
| Masri, Daniel J. | Diagnostic Radiology, Neuroradiology | Brooklyn | 256672-7W | July 19, 2018 |
| O’Malley, Michael | Diagnostic Radiology | Utica | 184073-5W | July 12, 2018 |
| Rahman, Naeem | Diagnostic Radiology | Lake Success | 275259-0W | July 9, 2018 |
| Sahin, Hakan | Diagnostic Radiology | Rochester | 286699-4W | July 18, 2018 |
| Vorwerk, Patrice Annette | Diagnostic Radiology | Setauket | 171512-7W | July 9, 2018 |
| Yeghiayan, Paula | Diagnostic Radiology, Neuroradiology | New York | 231622-2W | July 9, 2018 |
| Fogel, Jonathan Tad | Emergency Medicine | Williamsville | 248396-4W | July 23, 2018 |
| Gazoni, Paulo Mabuchi | Emergency Medicine | Jamestown | 293179-8W | July 23, 2018 |
| Zeballos, Alvaro Ramiro | Emergency Medicine | Jamestown | 215317-9W | July 23, 2018 |
| Camhi, Russell Frederick | Family Practice | Great Neck | 271827-8B | July 9, 2018 |
| Campana, Paul William | Family Practice | Kenmore | 283025-5W | July 31, 2018 |
| Delerme-Pagan, Cathy | Family Practice, Internal Medicine | Brooklyn | 198983-9W | July 26, 2018 |
| Geiss, Mary Elizabeth | Family Practice | Cicero | 283112-1W | July 19, 2018 |
| Krol, Vitaliy | Infectious Diseases | Greenvale | 243332-4W | July 9, 2018 |
| Shams, Farah | Infectious Diseases | Greenvale | 238632-4W | July 9, 2018 |
| Assevero, Anna-Maria Diana | Internal Medicine | Hudson | 166426-7W | July 23, 2018 |
| Bhoomireddi, Madhukar | Internal Medicine, Geriatric Medicine | Binghamton | 238050-9W | July 27, 2018 |
| Bolte, Thomas James | Internal Medicine | Northport | 181075-3W | July 16, 2018 |
| Chowdhury, Ataul Hakim | Internal Medicine | Bronx | 256970-5W | July 12, 2018 |
| D’Avino, Robert Cesare, Jr. | Internal Medicine | West Islip | 291528-8W | July 16, 2018 |
| D’Orazi, Francis Thomas, III | Internal Medicine, Pulmonary Disease, Critical Care Medicine | East Setauket | 272916-8W | July 18, 2018 |
| Dym, Glenn Seth | Internal Medicine, Cardiovascular Disease | West Islip | 257477-0W | July 18, 2018 |
| Eisenkraft, Barbara Louise | Internal Medicine, Diagnostic Radiology, Neuroradiology | Mineola | 160546-8W | July 9, 2018 |
| Harausz, Elizabeth Page | Internal Medicine, Infectious Disease | Syracuse | 256267-6W | July 19, 2018 |
| Lopez, Hermes | Internal Medicine, Infectious Disease | Greenvale | 251529-4W | July 20, 2018 |
| Losco, Donna Marie | Internal Medicine | Greenlawn | 199123-1W | July 12, 2018 |
| Parikh, Shital Ramesh | Internal Medicine, Cardiovascular Disease | Stony Point | 199356-7W | July 16, 2018 |
| Raiszadeh, Farbod | Internal Medicine, Cardiovascular Disease | New Rochelle | 272699-0W | July 12, 2018 |
| Cornacchia, Louis Guy | Neurological Surgery | Point Lookout | 203236-5B | July 27, 2018 |
| Ganeshalingam, Nimalya | Neurology | Great Neck | 284599-8W | July 9, 2018 |
| Meyer, Jenny Adele | Neurology | New York | 287995-5W | July 31, 2018 |
| Fourati, Samy Sophien | Nuclear Medicine | Brooklyn | 201278-9W | July 18, 2018 |
| Goodman, David Alan | Occupational Medicine | Kauneonga Lake | 292125-2I | July 26, 2018 |
| Baharestani, Samuel | Ophthalmology | Smithtown | 252341-3W | July 16, 2018 |
| Brown, Shanna Jean | Ophthalmology | Jamesport | 287033-5W | July 16, 2018 |
| Buono, Lawrence Michael | Ophthalmology | East Quogue | 213972-3W | July 16, 2018 |
| Gold, Michael Brian | Ophthalmology | Little Neck | 156092-9W | July 23, 2018 |
| Knoll, Faye | Ophthalmology | Melville | 249205-6W | July 18, 2018 |
| McKeague, Marta | Ophthalmology | Valley Stream | 292832-3W | July 30, 2018 |
| Sforza, Paul Dennis, Jr. | Ophthalmology | Little Neck | 206331-1W | July 18, 2018 |
| Danoff, Jonathan Robert | Orthopedic Surgery | Great Neck | 272662-8W | July 9, 2018 |
| Haher, Thomas Richard | Orthopedic Surgery | Syracuse | 134238-5B | July 19, 2018 |
| Johnson, Anne Holland | Orthopedic Surgery | New York | 227496-7W | July 10, 2018 |
| Kenney, Raymond James | Orthopedic Surgery | Rochester | 291810-0W | July 12, 2018 |
| Koehler, Steven Michael | Orthopedic Surgery | New York | 267030-5W | July 20, 2018 |
| Marinello, Patrick Gaetano | Orthopedic Surgery | Albany | 287204-2W | July 20, 2018 |
| McKean, Jason Michael | Orthopedic Surgery | New York | 282238-5W | July 20, 2018 |
| Sofia, Peter J. | Orthopedic Surgery | Williamsville | 154658-9B | July 23, 2018 |
| Davies, Matthew Charles | Physical Medicine/Rehabilitation | Syracuse | 293091-5W | July 19, 2018 |
| Zaccarini, Christina Gabrielle | Physical Medicine/Rehabilitation | Baldwinsville | 291465-3W | July 31, 2018 |
| Hill, Emily A. | Psychiatry | Stony Brook | 273025-7W | July 19, 2018 |
| Sharoha, Nidhi | Psychiatry | Stony Brook | 284158-3W | July 18, 2018 |
| Halikiopoulos, Leah | Psychology | Fresh Meadows | S22433-7W | July 20, 2018 |
| Techaratanaprasert, Sutee | Psychology | Forest Hills | S22429-5W | July 20, 2018 |
| Patel, Nick N. | Pulmonary Disease, Critical Care Medicine | East Setauket | 246771-0W | July 18, 2018 |
| Collins, Daniel George | Radiology – Diagnostic Radiology | Latham | 294050-0W | July 20, 2018 |
| Fournier, Jessica Lauren | Radiology – Diagnostic Radiology | Latham | 286883-4W | July 20, 2018 |
| Gasparis, Pauley Thalia | Radiology – Diagnostic Radiology | East Syracuse | 291998-3W | July 20, 2018 |
| Miller, Ryan Christopher | Radiology – Diagnostic Radiology | Latham | 294076-5W | July 20, 2018 |
| Peckham, Matthew Seth | Radiology – Diagnostic Radiology | East Syracuse | 291658-3W | July 31, 2018 |
| Sternick, Laura Anne | Radiology – Diagnostic Radiology | Williamsville | 293382-8W | July 23, 2018 |
| Eisen, Leon K. | Surgery, General Vascular Surgery | New York | 199580-2B | July 13, 2018 |
| Hedrick, Joseph Henry | Surgery | Utica | 273156-0W | July 9, 2018 |
| Hon, Peter Kingchi | Surgery, Colon/Rectal Surgery | Glendale | 250438-9W | July 23, 2018 |
| Temple, Larissa | Surgery, Colon/Rectal Surgery | Rochester | 224825-0W | July 19, 2018 |
| Donaldson, Anthony Herbert | Urology | Glens Falls | 255518-3W | July 9, 2018 |
| Theofanides, Marissa Christina | Urology | Middletown | 290620-4W | July 25, 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