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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. 046-1134

Newly Authorized Health Care Providers Approved to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: 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