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Subject Number 046-1143 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

February 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
Chen, Wen Anesthesiology Brooklyn 265275-8W January 11, 2019
Dukshtein, Avichai Anesthesiology Glendale 279800-7W January 23, 2019
Ettekal, Yashar Anesthesiology Voorheesville 270209-0W January 11, 2019
Fernandes, Anthony Vincent Anesthesiology New Hyde Park 287696-9W January 15, 2019
Jones, Jody Rahsaan Anesthesiology Brooklyn 260612-7W January 11, 2019
Nyirenda, Thandiwe Virginia Anesthesiology New York 249795-6W January 30, 2019
Perera, Sauni P. Anesthesiology New York 244444-6W January 15, 2019
Runcie, William Locksley Anesthesiology Elmont 293279-6W January 17, 2019
Starzyk, Pawel Anesthesiology New York 254498-9W January 11, 2019
Desai, Kapil Rajendra Diagnostic Radiology Lindenhurst 245026-0W January 23, 2019
Gold, Menachem Diagnostic Radiology, Neuroradiology Bronx 229754-7W January 15, 2019
Misra, Monika Diagnostic Radiology New York 261715-7W January 11, 2019
Tsai, Jason Diagnostic Radiology, Pediatric Radiology Melville 287656-3W January 23, 2019
Emery, Zack Steven Family Practice Clifton Park 294798-4W January 23, 2019
Enzien, Ernest M., Jr. Family Practice Delmar 225801-0B January 29, 2019
Evans, Anne Marie Family Practice Glens Falls 295773-6W January 2, 2019
Fontanez, Sara Ilana Family Practice Long Island City 295358-6W January 24, 2019
Greenberg, Lawrence Alan Family Practice Calverton 295162-2W January 23, 2019
Kessler, Jonathan David Family Practice Buffalo 274963-8W January 16, 2019
Krutchick, Karen Elizabeth Family Practice Gansevoort 276399-3W January 29, 2019
Miller, Michael Clement Family Practice Fulton 296061-5W January 29, 2019
O’Bourn, Peter J. Family Practice Rochester 295728-0W January 17, 2019
Patel, Arth Manoj Family Practice, Sports Medicine Jackson Heights 292229-2W January 25, 2019
Savla, Daven Jadavji Family Practice Schenectady 289741-1W January 15, 2019
Tomaino, Christopher John Gastroenterology Port Jefferson 270874-1W January 24, 2019
Cohen, Nadine J. Internal Medicine Thornwood 237679-6B January 10, 2019
Harrison, Joshua Walter Internal Medicine, Cardiovascular Disease Syracuse 274339-1W January 11, 2019
Khalid, Imran Internal Medicine, Geriatric Medicine Staten Island 265410-1W January 11, 2019
Makavana, Jayeshkumar J. Internal Medicine Patchogue 229975-8B January 24, 2019
Mustafa, Muhammad Raza Internal Medicine, Nephrology Stony Brook 278103-7W January 25, 2019
Navetta-Modrov, Brianne Nicole Internal Medicine, Allergy and Immunology Stony Brook 272491-2B January 25, 2019
Syed, Zainul-Abideen Mohammad Internal Medicine, Gastroenterology Schenectady 204049-1W January 11, 2019
Waheed, Omar Internal Medicine Lake Success 269297-8W January 11, 2019
Paramore, Christopher Gene Neurological Surgery Corning 295013-7W January 23, 2019
Stone, Jonathan Jay Neurological Surgery Rochester 289241-2W January 11, 2019
Virojanapa, Justin Noble Neurological Surgery New York 268424-9W January 11, 2019
Medeiros, Milton de Oliveira, Jr. Neurology Patchogue 260284-5W January 23, 2019
Madoff, Stacey Alison Obstetrics/Gynecology Poughkeepsie 210556-7B January 11, 2019
Turk, Jed Lawrence Obstetrics/Gynecology Poughkeepsie 187441-1B January 11, 2019
Ganapathy, Preethi Srinivasan Ophthalmology Manlius 294036-9W January 11, 2019
Arsht, Steven Joel Orthopedic Surgery New York 220608-4B January 15, 2019
Kang, Kevin Kee Min Orthopedic Surgery Brooklyn 280110-8W January 15, 2019
Mollison, Scott William Neil Orthopedic Surgery Watertown 294894-1W January 15, 2019
Rahman, Ayesha Mahmuda Orthopedic Surgery, Hand Surgery Flushing 284480-1W January 15, 2019
Seidman, Daniel Lee Orthopedic Surgery New York 288778-4W January 30, 2019
Willenborg, Melissa Dawn Orthopedic Surgery Horseheads 292281-3W January 23, 2019
DePietro, Joseph D. Otolaryngology Sleepy Hollow 284511-3B January 30, 2019
Frodel, John Linton Otolaryngology Ithaca 295818-9W January 23, 2019
Milani, Carlo Joseph Ettori Physical Medicine/Rehabilitation New York 288813-9W January 30, 2019
Rozenberg, Alexander Physical Medicine/Rehabilitation Brooklyn 207165-2B January 7, 2019
Chen, Elaina Yingnu Plastic Surgery Rochester 292130-2W January 23, 2019
Morrison, Clinton Strauss Plastic Surgery Rochester 274610-5B January 17, 2019
Bezhani, Hariklia Podiatry New York P06870-1W January 9, 2019
Chou, Yan Rong Podiatry Geneva P06826-3B January 8, 2019
Dawson, Brian Podiatry Smithtown P06511-1B January 8, 2019
Leonard, James S. Podiatry Cortland P04037-9W January 9, 2019
Maloney, Amanda Kathleen Podiatry Jamesville P06955-0W January 8, 2019
Parmar, Samuel S. Podiatry Brooklyn P06767-9B January 22, 2019
Putrino, Nicholas Andrew Podiatry Norwich P06941-0W January 9, 2019
Licht, Arnold Lawrence Psychiatry, Geriatric Psychiatry Brooklyn 106199-3B January 24, 2019
Qureshi, Naema Psychiatry Slingerlands 295274-5W January 16, 2019
Santos, Manuel Patrick Psychiatry Stony Brook 204435-2W January 25, 2019
Ewell, Joshua Casey Radiology – Diagnostic Radiology Seaford 277993-2W January 28, 2019
Dholakia, Rishi Tejas Surgery Stony Brook 295701-7W January 25, 2019
Elfar, Mohamed Soliman Ahmed Surgery, Surgical Critical Care Middletown 268151-8W January 30, 2019
Harris, Loren J. Surgery New York 175663-4B January 7, 2019
Kovatch, Irina Surgery, Surgical Critical Care Stony brook 251365-3W January 30, 2019
Lada, Michal Jan Surgery Pittsford 267342-4W January 23, 2019
McCloy, Colleen Surgery East Setauket 214526-6W January 16, 2019
Prieto, Peter Anthony Surgery Rochester 287527-6W January 23, 2019
Raman, Kathleen Gomathi Surgery, General Vascular Surgery Rochester 285241-6W January 23, 2019
Sreeramo, Ju Prashanth Surgery Bronx 267302-8W January 29, 2019
Vivas, David A. Surgery, Colon/Rectal Surgery Stony Brook 284005-6W January 23, 2019
Barrus, Bryan Bruce Thoracic Surgery Rochester 272899-6W January 23, 2019
Liu, Nick Wei-En Urology Syracuse 273602-3W January 23, 2019

* 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