Subject Numbers Regarding Health Provider Authorizations
January 11, 2019
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 |
|---|---|---|---|---|
| Zhao, Tianhao | Anatomic Pathology, Clinical Pathology | Stony Brook | 294696-0W | December 27, 2018 |
| Arca, Cyzar Estrella | Anesthesiology | Maspeth | 234569-2W | December 17, 2018 |
| Chipollini, Andres | Anesthesiology | Brooklyn | 294936-0W | December 27, 2018 |
| Colavita, Richard Donald | Anesthesiology | Melville | 293310-9W | December 17, 2018 |
| Epps, Susan Nancy | Anesthesiology | Scarsdale | 175372-2W | December 17, 2018 |
| Fam, Mourad Sourial | Anesthesiology | Brooklyn | 205653-9W | December 17, 2018 |
| Hong, Ji-Young Anthony | Anesthesiology | New York | 293476-8W | December 17, 2018 |
| Kabeer, Sarfaraz N. | Anesthesiology | Nanuet | 251870-2W | December 7, 2018 |
| Meigh, Abigail Erin | Anesthesiology | Warwick | 284241-7W | December 26, 2018 |
| Pallack, Robyn Allison | Anesthesiology | Huntington | 275050-3W | December 31, 2018 |
| Templar, Sheri Ellen | Anesthesiology | Saratoga Springs | 281309-5W | December 18, 2018 |
| Tiemann, Dawn Dugan | Anesthesiology | Brooklyn | 291019-8W | December 17, 2018 |
| Zachary, Youssef Iskander | Anesthesiology | Staten Island | 210195-4W | December 18, 2018 |
| Dean, Shannon Lee | Child Neurology | Rochester | 289101-8W | December 13, 2018 |
| Cox, Christopher Patrice | Chiropractic | Great Neck | C09348-6W | December 24, 2018 |
| DiCarlo, Thomas M. | Chiropractic | Tuckahoe | C13132-8W | December 24, 2018 |
| Mohuchy, Sophia Larisa | Chiropractic | New York | C09473-2W | December 24, 2018 |
| Ognibene, Alex Vincent | Chiropractic | Falconer | C13151-8W | December 24, 2018 |
| Smith, Brooke Morgan | Chiropractic | Liverpool | C13095-7W | December 24, 2018 |
| Wei, Yang | Chiropractic | East Meadow | C13159-1W | December 24, 2018 |
| Allawi, Ali Tawfik | Diagnostic Radiology | Brooklyn | 276564-2W | December 13, 2018 |
| Cohen, David Jerome | Diagnostic Radiology | Brooklyn | 291280-6W | December 14, 2018 |
| Duncan, John William | Diagnostic Radiology | Elmont | 288321-3W | December 13, 2018 |
| Fink, Arthur Joseph | Diagnostic Radiology | East Setauket | 146102-9W | December 13, 2018 |
| Gilloteaux, Laurent Christophe | Diagnostic Radiology | Plattsburgh | 295167-1W | December 26, 2018 |
| Hanono, Joseph Andrew | Diagnostic Radiology | Brooklyn | 278285-2W | December 17, 2018 |
| Ho, Alexander Weihan | Diagnostic Radiology | New York | 239252-0W | December 26, 2018 |
| Horn, Jeremy H. | Diagnostic Radiology | New York | 284156-7W | December 26, 2018 |
| Kamenetz, Flavio Roberto | Diagnostic Radiology | New York | 238990-6B | December 26, 2018 |
| Khalef, Victoria | Diagnostic Radiology | Brooklyn | 249599-9W | December 17, 2018 |
| Mazzie, Joseph Patrick | Diagnostic Radiology | Bedford Hills | 245206-8W | December 27, 2018 |
| Moesch, Dean | Diagnostic Radiology | Middletown | 259252-5W | December 3, 2018 |
| Reig, Beatriu | Diagnostic Radiology | New York | 238055-8B | December 17, 2018 |
| Catapano, Christopher | Emergency Medicine | Lake Katrine | 263737-9B | December 7, 2018 |
| Barletta, Matthew Ian | Family Practice | Amherst | 292475-1W | December 3, 2018 |
| Beaudett, Ethan Nere | Family Practice, Sports Medicine | Rochester | 290946-3B | December 26, 2018 |
| Goyal, Pratima | Family Practice | West Harrison | 251872-8W | December 17, 2018 |
| Guida, Michael Anthony | Family Practice | West Babylon | 294868-5W | December 17, 2018 |
| James, David Michael | Family Practice | Getzville | 209033-0W | December 17, 2018 |
| Kelley, James Fitzhugh | Family Practice | Saratoga Springs | 294649-9I | December 27, 2018 |
| Lall, Alisha | Family Practice | Eden | 295498-0B | December 26, 2018 |
| Wilcox, Jessica Lynne | Family Practice | Cicero | 293299-4W | December 7, 2018 |
| Yuan, Kenneth Win | Family Practice | West Coxsackie | 289476-4W | December 26, 2018 |
| Kumar, Neil Gupta | General Vascular Surgery, Surgical Critical Care | Rochester | 261886-6W | December 26, 2018 |
| Acharya, Runa | Internal Medicine, Endocrinology, Diabetes and Metabolism | Syracuse | 288224-9W | December 7, 2018 |
| Adelstein, Evan Cary | Internal Medicine, Cardiovascular Disease, Clinical Cardiac Electrophysiology | Hudson | 294063-3W | December 26, 2018 |
| Basnet, Alina | Internal Medicine | Syracuse | 292912-3W | December 26, 2018 |
| Dixon, Donzella Patricia | Internal Medicine | Lagrangeville | 253807-2W | December 26, 2018 |
| Frankel, Perry A. | Internal Medicine | Lake Success | 164115-8B | December 18, 2018 |
| Frenkel, Leonid | Internal Medicine | Jefferson Valley | 292040-3B | December 10, 2018 |
| Gallay, Brian James | Internal Medicine, Nephrology | Syracuse | 294100-3W | December 27, 2018 |
| Gharia, Bharatsinh Mahendrasinh | Internal Medicine, Medical Oncology | Cooperstown | 294604-4W | December 10, 2018 |
| Iqbal, Hameed | Internal Medicine | Syracuse | 280131-4W | December 3, 2018 |
| Karpenko, Matthew J. | Internal Medicine, Hematology, Medical Oncology | Jamesville | 254036-7W | December 31, 2018 |
| Kidder, Elizabeth Ogden | Internal Medicine | Jamestown | 288860-0B | December 26, 2018 |
| Leonidas, Leonard Al | Internal Medicine, Pediatrics | Castleton on Hudson | 236721-7W | December 3, 2018 |
| Mader, Sarah Christine | Internal Medicine | Geneva | 291665-8W | December 26, 2018 |
| Miller, Andy Olivier | Internal Medicine, Infectious Diseases | New York | 230416-0B | December 18, 2018 |
| Mofidian, Seyedmehdi | Internal Medicine | Cooperstown | 295293-5W | December 17, 2018 |
| Naseer, Zahra Hamzah | Internal Medicine | Stony Brook | 295883-3W | December 17, 2018 |
| Rahman, Abdul Wahid Muhammad Fa | Internal Medicine | Johnson City | 251363-8W | December 17, 2018 |
| Sae-Tia, Sutthichai | Internal Medicine, Infectious Diseases | Stony Brook | 296437-7W | December 27, 2018 |
| Scigliano, Eileen | Internal Medicine, Hematology | New York | 148464-1B | December 27, 2018 |
| Yousuf, Saad | Internal Medicine | Fishkill | 293952-8B | December 7, 2018 |
| Missios, Symeon | Neurological Surgery | West Islip | 291655-9W | December 17, 2018 |
| Liedke, Maryana | Neurology | Ronkonkoma | 288433-6W | December 27, 2018 |
| McGraw, Corey Allen | Neurology | Syracuse | 254309-8W | December 7, 2018 |
| Rosenthal, Loren Ethan | Neurology | Hyde Park | 112684-6I | December 27, 2018 |
| Brontoli, Margreth Joan | Ophthalmology | Long Beach | 180558-9W | December 17, 2018 |
| Khine, Kay Thwe | Ophthalmology | Plattsburgh | 293852-0W | December 26, 2018 |
| Portnoy, Joel Evan | Otolaryngology | New Hyde Park | 263902-9B | December 18, 2018 |
| Setzen, Gavin | Otolaryngology | Albany | 191506-5B | December 7, 2018 |
| Behrens, Steve Brian | Orthopedic Surgery | New York | 272009-2W | December 17, 2018 |
| Burlage, Ashley Elizabeth | Orthopedic Surgery | Huntington | 272381-5W | December 26, 2018 |
| Cicoria, Anthony David | Orthopedic Surgery | Norwich | 174322-8B | December 26, 2018 |
| Dicpinigaitis, Paul | Orthopedic Surgery | Great Neck | 204567-2B | December 18, 2018 |
| Galos, David K. | Orthopedic Surgery | Great Neck | 277069-1W | December 3, 2018 |
| Howard, Daniel Robert | Orthopedic Surgery | Carmel | 277334-9W | December 17, 2018 |
| Iyer, Sravisht | Orthopedic Surgery | New York | 271937-5W | December 26, 2018 |
| Jacobs, Lloydine | Orthopedic Surgery | Mt Vernon | 292453-8W | December 18, 2018 |
| Ni, Jake | Orthopedic Surgery | Rego Park | 283136-0W | December 28, 2018 |
| Pullen, William Michael | Orthopedic Surgery | Webster | 296772-7I | December 26, 2018 |
| Seidenstein, Ari Douglas | Orthopedic Surgery | New York | 253562-3W | December 18, 2018 |
| Adham, Hossam E. | Physical Medicine/Rehabilitation | Brooklyn | 281144-6B | December 17, 2018 |
| Barsoum, Dena Maurice | Physical Medicine/Rehabilitation | New York | 287375-0W | December 26, 2018 |
| Mizrahi, Mike | Physical Medicine/Rehabilitation | New York | 283517-1B | December 17, 2018 |
| Patel, Manish Bhikhabhai | Physical Medicine/Rehabilitation, Pain Management | Bronx | 291234-3B | December 26, 2018 |
| Yamagami, Shouhei | Physical Medicine/Rehabilitation | Mount Kisco | 294993-1W | December 17, 2018 |
| Vargovich, Alison Mildred | Psychology | Buffalo | S22213-3W | December 12, 2018 |
| Wagner, Vanessa May | Psychology | Brooklyn | S21495-7W | December 12, 2018 |
| Dony, Christina Anne | Pulmonary Diseases | Rochester | 275865-4W | December 10, 2018 |
| Alizai, Hamza Saeed | Radiology – Diagnostic Radiology | New York | 286282-9W | December 17, 2018 |
| Dane, Bari Robyn | Radiology – Diagnostic Radiology | New York | 287997-1W | December 26, 2018 |
| Kessler, Alexander Thomas | Radiology – Diagnostic Radiology | Buffalo | 277575-7W | December 26, 2018 |
| Khodarahmi, Iman | Radiology – Diagnostic Radiology | New York | 294795-0W | December 17, 2018 |
| Parikh, Nisarg Atulkumar | Radiology – Diagnostic Radiology | Cooperstown | 293105-3W | December 10, 2018 |
| Stavrakis, Costas G. | Radiology – Diagnostic Radiology | Mineola | 291827-4W | December 13, 2018 |
| Allard-Picou, Ayana | Surgery | Cooperstown | 294331-4W | December 10, 2018 |
| Foresman, Brian Christopher | Surgery | Dansville | 223111-6W | December 10, 2018 |
| Gilbert, Fernandez Juan Jose | Surgery | Patchogue | 273189-1W | December 17, 2018 |
| Knott, Liam Thomas | Surgery | West Seneca | 289388-1W | December 26, 2018 |
| Pallati, Pradeep Kumar | Surgery | Binghamton | 283482-8W | December 17, 2018 |
| Sharpton, Keith Thomas | Surgery | Corning | 28887-3W | December 17, 2018 |
| Summers, Jessica Ida | Surgery, Surgical Critical Care | Syracuse | 295711-6W | December 26, 2018 |
| Webman, Rachel Beth | Surgery | Ridgewood | 295264-6W | December 17, 2018 |
| Davoudzadeh, Natan Pedram | Urology | Greenlawn | 289608-2W | December 17, 2018 |
| Gurgov, Semyon | Urology | Greenlawn | 292786-1W | December 17, 2018 |
| Pinkhasov, Ruben M. | Urology | Utica | 284823-2W | December 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.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair