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Subject Number 046-1154 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

April 15, 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
Hua, Betty Anesthesiology East Northport 293268-9W March 6, 2019
Johnson, Vincent Gregory Anesthesiology, Pain Management Babylon 291245-9B March 6, 2019
Lau, Andrew King-Kei Anesthesiology Scarsdale 257076-0W March 6, 2019
Persaud, Joshua Anesthesiology New York 296721-4W March 20, 2019
Prasad, Sunil Narsing Anesthesiology Rensselaer 220087-1W March 6, 2019
Reich, Irwin M. Anesthesiology New York 143733-4W March 6, 2019
Sabo, Matthew Janos Anesthesiology Rochester 288658-8W March 19, 2019
Levitan, Mark J. Chiropractic Commack C04472-9W March 7, 2019
Mihalkovic, Jacob Chiropractic Plattsburgh C13192-2W March 7, 2019
Monserrate, Ivana Morgan Chiropractic Armonk C12967-8W March 7, 2019
Sung, Duk Jea Chiropractic Flushing C13017-1W March 7, 2019
Troutner, Alyssa Morgan Chiropractic Sherman C13219-3B March 7, 2019
Aggarwal, Amit Diagnostic Radiology, Neuroradiology New York 245202-7W March 6, 2019
Bernstein, Laura Diagnostic Radiology New York 223571-1W March 6, 2019
Clark, Yasmin Diagnostic Radiology New York 246783-5W March 6, 2019
Ioachim, Laura Diagnostic Radiology Bronxville 197438-5W March 20, 2019
Keuskamp, Janine Diagnostic Radiology, Neuroradiology Bedford Hills 234778-9W March 20, 2019
Lien, Ruby J. Diagnostic Radiology, Neuroradiology Mineola 251169-9B March 6, 2019
Meyer, Robert H. Emergency Medicine Hartsdale 190101-6W March 6, 2019
Fusella, Marissa Zumbo Family Practice Niskayuna 294490-8W March 14, 2019
Kaur, Gurvinder Family Practice Highland 289953-2W March 18, 2019
Mahapatra, Angana Family Practice Syracuse 276703-6W March 6, 2019
Thomas, Erwin Dale Family Practice Jamaica 292444-7W March 20, 2019
Tseyko, Olga Family Practice Brooklyn 221645-5W March 6, 2019
Palchik, Eugene General Vascular Surgery Syracuse 236613-6W March 18, 2019
Faroqui, Fazal G. Internal Medicine Patchogue 239825-3B March 19, 2019
Garcia, Fusco Veronica Internal Medicine New York 259029-7B March 6, 2019
Geisse, Hans Christian Internal Medicine Hudson 170233-1W March 6, 2019
King, Mary Ellen Internal Medicine, Geriatric Medicine Middletown 220224-0B March 6, 2019
Kolesnikov, Alexander Internal Medicine Brooklyn 253976-5B March 21, 2019
Kontzias, Apostolos Internal Medicine, Rheumatology Port Jefferson 294238-1W March 6, 2019
Lavelle, Daniel Thor Internal Medicine Niskayuna 280538-0W March 20, 2019
Mahapatra, Rahul Internal Medicine Syracuse 278638-2W March 19, 2019
Mahmood, Syed Kashif Internal Medicine, Gastroenterology Middletown 294860-2W March 6, 2019
Marici, Kenneth Frank Internal Medicine Red Hook 279412-1I March 20, 2019
Mourad, Bashar Mohammad Internal Medicine, Pulmonary Disease, Critical Care Medicine New York 290805-1B March 6, 2019
Olowo, Grace Boluwape Internal Medicine Stony Brook 294393-4W March 14, 2019
Torres, Carlos Javier Internal Medicine West Harrison 234059-4W March 20, 2019
Yeddu, Mrilini Marthamoses Internal Medicine, Geriatric Medicine Middletown 241901-8B March 15, 2019
Ahmed, Hazem Mohammed Neurological Surgery Rochester 296342-9W March 20, 2019
Mattingly, Thomas Kenneth Neurological Surgery Rochester 291504-9W March 6, 2019
Ibegbu, Chinazom Uchenna Neurology Rochester 284955-2W March 20, 2019
Pfiffner, Thomas John Neurology Amherst 268462-9W March 6, 2019
Rehm, Alyssa Gale Neurology Greenlawn 289079-6W March 6, 2019
Nwogu, Emmanuel Uzoma Obstetrics/Gynecology Hudson 264234-6W March 6, 2019
Carrer, Alexandra Orthopedic Surgery Brooklyn 245622-6B March 6, 2019
Feiner, David Edward Orthopedic Surgery Elmhurst 296440-1B March 19, 2019
Khaimov, Mikhail I. Orthopedic Surgery Middletown 272593-5W March 19, 2019
Loguidice, Vito Anthony Orthopedic Surgery Brooklyn 173461-5B March 14, 2019
Patel, Archit V. Orthopedic Surgery, Hand Surgery Middletown 294764-6B March 4, 2019
Angerosa, John, Jr. Otolaryngology Schenectady 113280-2W March 20, 2019
Lee, George Physical Medicine/Rehabilitation Brooklyn 269202-8W March 6, 2019
Lee, Jenny Physical Medicine/Rehabilitation Brooklyn 268745-7W March 6, 2019
Price, Richard Louis Psychiatry Monsey 224213-9W March 20, 2019
Lowenstein, Bruce H. Psychology New City S10124-6B March 18, 2019
Woods, Bonnie Jo Psychology Buffalo S22668-8W March 18, 2019
Bhattacharjee, Monica Radiology – Diagnostic Radiology Rochester 294784-4W March 19, 2019
Chalifoux, Jason Raymond Radiology – Diagnostic Radiology New York 282390-4W March 6, 2019
Poles, Gabriela Cara Surgery Rochester 294213-4W March 6, 2019
Ratner, Ross Mathew Surgery, Plastic Surgery Patchogue 277819-9W March 13, 2019
Ioffe, Edward Urology Syracuse 276506-3W March 21, 2019
Lu, Diane D. Urology Canandaigua 287389-1W March 19, 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