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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-1128

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

Date: December 17, 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
Aiello, Nicholas Rocky Point S09476-3W October 9, 2018
Armenia, Joseph P. West Seneca 090890-5W October 9, 2018
Ashkin, Jeffrey R. Bay Shore 126861-4W October 9, 2018
Back, Vincent Richard Nassau 092527-1W October 9, 2018
Bartone, John Dale St. Petersburg 174072-9W October 9, 2018
Belton, Douglas Regina 250946-1W October 9, 2018
Berg, Roger Alan Short Hills 087976-7W October 9, 2018
Brehm, Anthony Stony Brook 270755-2B October 9, 2018
Brezler, Mario R. White Plains 115845-0W October 9, 2018
Butler, John J. Naples 072234-8W October 9, 2018
Calise, Domenick Anthony Rochester P04367-0W October 9, 2018
Cheng, Tung Woon Flushing P03223-6W October 9, 2018
Cohn Ronald Neil Greenlawn 111219-2W October 9, 2018
Davidson, Franklin Zimmern New York 084576-8W October 9, 2018
Davis, Sanders William Mendham 097405-5W October 9, 2018
Eagan, Marie T. Carmel Valley C03730-1I October 9, 2018
Ecuyer, Jean-Paul Princeton 242816-7W October 9, 2018
Epling, John Wilson, Jr. Syracuse 215267-6W October 9, 2018
Feldschuh, Joseph New York 090222-1W October 9, 2018
Fondacaro, Paul Francis Franklin Lakes 150421-6W October 9, 2018
Forero, Edward Raleigh 132636-2W October 9, 2018
Giardino, John J. Palm Beach Gardens 082849-1B October 9, 2018
Gornish, Michael Hornell 212950-0W October 9, 2018
Grande, Christopher Marcellinus Lexington 164709-8W October 9, 2018
Groetz, Susan Marie Cazenovia C04632-8W October 9, 2018
Groth, George H. W. Valley Cottage S08394-9W October 9, 2018
Harris, Harriet Staten Island 088059-1W October 9, 2018
Herskovits, Gerald Mullica Hill 166490-3W October 9, 2018
Hudson, Charles J. Cooperstown 119537-9W October 9, 2018
Hyman, Sonia W. New York 092646-9W October 9, 2018
Joy, Athalie D. Buffalo S05657-2W October 9, 2018
Kahanowicz, Yaffa New York 121567-2W October 9, 2018
Kameny, Ronald M. Fayetteville 093963-7W October 9, 2018
Kanarek, Irwin New York 091814-4W October 9, 2018
Kassem, Jawad Nadim New York 255629-8W October 9, 2018
Keefe, Jeffrey F. Syracuse S03274-8W October 9, 2018
Kim, Cheung Ki Killeen 140430-0W October 9, 2018
Kinsey, James Andrew Venice 114231-4B October 9, 2018
Lampell, Marc Steven Naples 147829-6W October 9, 2018
Li Calzi, Nicholas Charles Palm Beach Gardens 076806-9W October 9, 2018
Liao, Lydia New York 230213-1W October 9, 2018
Lloyd, William Edward Slingerlands 185683-0W October 9, 2018
Lynn, Theresa M. Endicott 280460-7W October 9, 2018
Sahai, Achal Suffern 279919-5W October 10, 2018
Sotoudeh, Houman Saint Louis 284717-6W October 10, 2018
Whitcomb, Christopher John Stony Brook 284792-9W October 10, 2018
Woods, Daniel P. Woodbury 275973-6W October 10, 2018
Yoon, Woo Choong Hopewell Junction 119455-4W October 10, 2018
Zelefsky, Melvin Nat Bronx 086163-3W October 10, 2018
Malik, Shahid Nasir Johnson City 242672-4W October 10, 2018
Marin, Diana V. Palm Beach Gardens 286807-3W October 10, 2018
Maxwell, Richard William Ithaca S09385-6B October 10, 2018
Melin, Albert L. Middletown C08651-4B October 10, 2018
Menge, Paul E. Fairport 155327-0W October 10, 2018
Mehta, Rishi Stony Brook 285314-1W October 10, 2018
Monaco, Liberatore P. Rochester 113630-8I October 10, 2018
Monte, Joseph Frank Buffalo 084258-3W October 10, 2018
Moore, James Patrick Lewiston 091628-8W October 10, 2018
Murphy, Andrew William Charlottesville 186970-0W October 10, 2018
Nostro, John Paul Commack C04974-4W October 10, 2018
Pitman, Gerald Harris New York 109517-3W October 10, 2018
Portugal, Alexander Surfside 194928-8W October 10, 2018
Ready, Katherine Fitzpatrick Rochester 278447-8W October 10, 2018
Richardson, Gregory Phillip Canandaigua C10866-4W October 10, 2018
Ritaccio, Anthony Louis Albany 172759-3W October 10, 2018
Rodrigue, Charlotte Marie Ridge S10245-9W October 10, 2018
Rowlands, John Glens Falls 269847-0W October 10, 2018
Sanborn, John C. Manlius 084069-4W October 10, 2018
Schwartz, Joel M. Brooklyn 081735-3W October 10, 2018
Silver, Alan J. Irvington 123745-2W October 10, 2018
Simpson, Scott Albert Stony Brook 285022-0W October 10, 2018
Splain, Shepard H. Brooklyn 120570-7W October 10, 2018
Staunton, Sheldon B. Schenectady 095150-9B October 10, 2018
Steres, David A. Poughkeepsie 154954-2W October 10, 2018
Stern, Rohan Liverpool 276297-9W October 10, 2018
Singh, Gaganjot Syracuse 275968-6W October 10, 2018
Surampudi, Padma Tacoma 221640-6B October 10, 2018
Te, Jaime C. Lawrence 149701-5W October 10, 2018
Vijaykumar, Rekha Palatine 167674-1W October 10, 2018
Vinton, Kenneth James Grove City C07869-3W October 10, 2018
Vitiello, Stacey Marie Annandale 211696-0W October 10, 2018
Walker, Allan Russell Clifton Springs 097916-1W October 10, 2018
Keller, Scott Joseph Ronkonkoma C07598-8W October 15, 2018
Werder, Brian F. Palm Coast C04242-6W October 15, 2018
Izzo, Michael A. East Amherst P03338-2B October 29, 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