Subject Numbers Regarding Health Provider Authorizations
September 24, 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 |
|---|---|---|---|
| Amato, Richard Anthony | Bradenton | 202178-0W | July 2, 2018 |
| Abadir, John Sobhi | Bronx | 276334-0B | July 10, 2018 |
| Abott, Michael L. | Staten Island | 139802-3W | July 10, 2018 |
| Balmir, Clotilde | Elmont | 148257-9W | July 10, 2018 |
| Balsano, Nicholas A. | Elmsford | 096555-8W | July 10, 2018 |
| Bansal, Manjula | New York | 147749-6W | July 10, 2018 |
| Bennison, William M. | Port Jefferson | S06877-5B | July 10, 2018 |
| Bergstraesser, Lynn M. | Lake Katrine | 225698-0W | July 10, 2018 |
| Bohensky Paul | Patchogue | 139860-1B | July 10, 2018 |
| Bryant, Tuckett Rose | Pound Ridge | S06900-5B | July 10, 2018 |
| Budow, Jack | Floral Park | 091162-8W | July 10, 2018 |
| Carr, Linda Yancovitz | Brooklyn | 140545-5W | July 10, 2018 |
| Cavagnuolo, Scott Louis | East Norwich | C10662-7W | July 10, 2018 |
| Chaker, Sana | Rochester | 283639-3W | July 10, 2018 |
| Chowlera, Natwarlal O. | Astoria | 138983-2W | July 10, 2018 |
| Chung, Howard | New Hyde Park | 134675-8W | July 10, 2018 |
| Chung, Tae C. | Pleasantville | 141054-7W | July 10, 2018 |
| Coates, Edward Donnally | Hannacroix | 090878-0W | July 10, 2018 |
| Curtis, Joel | New York | 082595-0W | July 10, 2018 |
| Dennison, Patrick R. | Dunkirk | 276924-8B | July 10, 2018 |
| Deutsch, Lionel G. | Ironton | 086797-8W | July 10, 2018 |
| Ditullio, Anthony Joseph | Lawrence Township | 165334-4W | July 10, 2018 |
| Dolan, James Gerald | Rochester | 145182-2W | July 10, 2018 |
| Ducker, Paul S. | Suffern | 101731-8W | July 10, 2018 |
| Eisenberg, Jason Zeus | Seattle | 276966-9W | July 10, 2018 |
| Elyash, Igor Gary | Franklin Lakes | 283590-8W | July 10, 2018 |
| Falkow, Seymour | New York | 081438-4W | July 10, 2018 |
| Fieve, Ronald R. | New York | 080369-2W | July 10, 2018 |
| Follett, David Andrew | Bronx | 102667-3W | July 10, 2018 |
| Galkin, Vadim | Bronx | 208549-6B | July 10, 2018 |
| Gelfand, Mark A. | Stony Brook | 234242-6W | July 10, 2018 |
| Giordano, Louis William | Endwell | 093781-3W | July 10, 2018 |
| Godfrey, Peter | Olean | 142393-8W | July 10, 2018 |
| Gordon, Bernard | Huntington | 099017-6W | July 10, 2018 |
| Haaris, Absar Husain | Oakland Gardens | 217456-3W | July 10, 2018 |
| Hagendorf, Benjamin Ari | Bordentown | 276096-5W | July 10, 2018 |
| Harris, Colin Benjamin | Syracuse | 256659-4W | July 10, 2018 |
| Herman, Peter G. | Great Neck | 084775-6W | July 10, 2018 |
| Hertz, Ilona H. | New York | 122730-5W | July 10, 2018 |
| Illig, Karl Armistead | Tampa | 178848-8W | July 10, 2018 |
| Ionita, Catalina Codruta | Williamsville | 268472-8W | July 10, 2018 |
| Iordanescu, Alexandra Constantin | Jersey City | 178350-5W | July 10, 2018 |
| Jaffe, Morton A. | Wantage | 086255-7W | July 10, 2018 |
| Jehle, Dietrich Von Kuenssberg | Myrtle Beach | 184471-1W | July 10, 2018 |
| Jogu, Prasad | Roseville | 270736-2W | July 10, 2018 |
| Kelling, Ernest Collyer | West Islip | 251606-0W | July 10, 2018 |
| Keough, Lisa M. | Seattle | 242344-0W | July 10, 2018 |
| Kim, Han Joo | Hasting on Hudson | 108204-9W | July 10, 2018 |
| Kochersperger, Albert Bruen | Norwich | 108711-3B | July 10, 2018 |
| Kotlar, Petrusia G. | Towaco | C03924-0W | July 10, 2018 |
| Krynska, Elizabeth Barbara | Bronx | 194195-4B | July 10, 2018 |
| Kyger, Elizabeth L. | Buffalo | 143470-3W | July 10, 2018 |
| Lagmay, Merceditas M. | Mount Kisco | 178713-4B | July 10, 2018 |
| Lasser, Steven David | Canandaigua | 154592-0W | July 10, 2018 |
| Levine, Malcolm E. | Palm Beach Gardens | 093658-3W | July 10, 2018 |
| Levy, Alan | New York | C03864-8W | July 10, 2018 |
| Levy, William Ivan | Syracuse | 171121-7W | July 10, 2018 |
| Madad, Syed S. | Roslyn Harbor | 126577-6W | July 10, 2018 |
| Marshall, Robert Andrew | Cropseyville | 135338-2W | July 10, 2018 |
| Mascatello, Antonio Vincent | Brooklyn | 042281-6W | July 10, 2018 |
| Mayer, Donald Jay | White Plains | 081787-4W | July 10, 2018 |
| Miller, Jeffrey | Clifton | P02696-4W | July 10, 2018 |
| Miller, Joyce Cynthia | Rydal | 078268-0W | July 10, 2018 |
| Miller, Marlene | Seaford | C08371-9W | July 10, 2018 |
| Miro, Santiago | Syracuse | 235495-9W | July 10, 2018 |
| Mongeau, Christopher P. | Sound Beach | S12206-9W | July 10, 2018 |
| Moskowitz-Elfenbein, Leslie Brett | Fishkill | 204181-2B | July 10, 2018 |
| Nagel, Doris B. | New York | 098546-5W | July 10, 2018 |
| Nakazawa, Hiroshi | Valley Cottage | 093635-1B | July 10, 2018 |
| Paarlberg, Donald | Coldwater | 205542-4I | July 10, 2018 |
| Paonessa, Jessica Erin | Syracuse | 274692-3W | July 10, 2018 |
| Pathani, Shobhana | Farmington | 234544-5W | July 10, 2018 |
| Pipas, John Edward | Cazenovia | 092489-4W | July 10, 2018 |
| Plotkin, Jay Michael | Pepper Pike | C05561-8W | July 10, 2018 |
| Queler, Evan D. | ParkRidge | 267375-4B | July 10, 2018 |
| Quick, Winford A. | Buffalo | 121740-5W | July 10, 2018 |
| Sadowski, John Stanley | Fort Myers | 082638-8B | July 10, 2018 |
| Sanchez, Agustin Francisco | San Antonio | 173976-2W | July 10, 2018 |
| Satyam, Bhagyalakshmi D. | Shaverstown | 150855-5W | July 10, 2018 |
| Schielke, Lorenz H. | Farmington | 213928-5W | July 10, 2018 |
| Schwartzberg, Josh | Essex | 113913-8W | July 10, 2018 |
| Schweitzer, Paul | Demarest | 112546-7W | July 10, 2018 |
| Scopellito-Olsen, Anna Marie | Biddeford | 168980-1W | July 10, 2018 |
| Shirazi, Michael | Bedford Hills | 251802-5W | July 10, 2018 |
| Sider, Lee Edward | Fort Lauderdale | 205435-1W | July 10, 2018 |
| Steehler, Mark William | Orlando | 284191-4W | July 10, 2018 |
| Steinman, Stuart L. | West Port | 134465-4W | July 10, 2018 |
| Stillman, Elwin L. | Lowville | 124223-9W | July 10, 2018 |
| Stoner, Kristin Marie | Port Jefferson | 265273-3W | July 10, 2018 |
| Sugarman, Edward David | Wake Forest | 092606-3I | July 10, 2018 |
| Taktakishvili, Otar | Mineola | 260699-4W | July 10, 2018 |
| Tolchin, Alan J. | Teaneck | 130208-2W | July 10, 2018 |
| Topilow, Harvey W. | Cresskill | 127450-5W | July 10, 2018 |
| Valdez, Gloria B. | Oakland Gardens | 123302-2W | July 10, 2018 |
| Waldman, John Bernard | Slingerlands | 138266-2W | July 10, 2018 |
| Walsh, Joseph B. | New York | 102118-7W | July 10, 2018 |
| Wangkeo, Dusit | Yonkers | 133216-2W | July 11, 2018 |
| Weitzenkorn, Dan Edward | Buffalo | 266853-1W | July 10, 2018 |
| Wiechetek, Walter Joseph | Bayonne | 115887-2W | July 10, 2018 |
| Winter, Darius G. | Rego Park | 125658-5W | July 10, 2018 |
| Wynia, Blake Andrew | Albany | 283271-5W | July 10, 2018 |
| Zhang, Xiaowei | Morganville | 222855-9W | July 10, 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