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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. 046-1167

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

Date: May 7, 2019

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
Alimohammad, Lubbna Latham 255012-7W March 11, 2019
Argyros, Thomas New York 080373-4 W March 11, 2019
Attkiss, Michael Manhasset 116016-7W March 11, 2019
Baboumian, Norayr New York 163715-6W March 11, 2019
Belopolsky, Leonid New York 141969-6W March 11, 2019
Blando, Thomas Deerfield C02835-9W March 11, 2019
Blankfein, Robert New York 083295-6W March 11, 2019
Blum, Morton New York 087078-2W March 11, 2019
Botash, Robert Manlius 170002-0W March 11, 2019
Britton, Leon Mount Ulla 206449-1W March 11, 2019
Brooks, Donald Elmira 075383-0W March 11, 2019
Camp, Rodney Kingston 167756-6W March 11, 2019
Carrel, Jeffrey Williamsville P02175-9W March 11, 2019
Chalhoub, Elie Brooklyn P03899-3W March 11, 2019
Chang, Kyong Short Hills 138084-9W March 11, 2019
Chayes, Jeff New York 091169-3W March 11, 2019
Choi, Jeanne Cincinnati 202129-3W March 11, 2019
Christos, Constantine New City S04172-3W March 11, 2019
Costantino, Michael West Palm Beach P04375-3W March 11, 2019
Costello, John Ithaca 149867-4W March 11, 2019
Crowe, John Greenwich 113115-0W March 11, 2019
Daoud Magda, George Dresden 205978-0W March 11, 2019
Dimuro, Michael Jacksonville P04072-6W March 11, 2019
Dix, Donald Horseheads C00088-7W March 11, 2019
Domenico, Louis, Jr. Media 235601-2W March 11, 2019
Donela, Vincent Huntington Station P02243-5W March 11, 2019
Duncalf, Deryck Stamford 082106-6W March 11, 2019
Edwards, Joseph Carmel 153953-5W March 11, 2019
Fasuli, Stavrula East Elmhurst 138225-8W March 11, 2019
Fethiere, David Long Beach 095323-2B March 11, 2019
Forelli, Andrew Huntington C06484-2W March 11, 2019
Foster, Joanne Bronx 129976-7W March 11, 2019
Gaary, Elizabeth Greenwich 199828-5W March 11, 2019
Gabay, Richard Syosset 156761-9W March 11, 2019
Garzon, Antonio Pittstown 089307-3W March 11, 2019
Glass, Kenneth East Setauket 116939-0B March 11, 2019
Graham, David Bayshore 150097-4W March 11, 2019
Haag, Ray Bay Shore 049736-2W March 11, 2019
Harrington, Donald Setauket 186200-2W March 11, 2019
Henretta, Melissa Stony Brook 261553-2W March 11, 2019
Hinkle, David West Newton 246550-8W March 11, 2019
Honig, Mark Croton-on-Hudson S06318-0W March 11, 2019
Ioannou, Elena Whitestone C10207-1W March 11, 2019
Irwin, Gerald Ponte Vedra 078348-0W March 11, 2019
Isralow, Calvin Hauppauge P02181-7W March 11, 2019
Jarrett, Robert Danbury 158765-8W March 11, 2019
Jimenez, Carlos J. Orchard Park 126139-5W March 11, 2019
Kanick, Virginia New York 073415-2W March 11, 2019
Kendall, Leon Brooklyn 148268-6W March 11, 2019
Kim, Duck J. Peru 110604-6W March 11, 2019
King, Charles Albany 260412-2B March 11, 2019
Kingsley, Leonard Brooklyn S01511-5W March 11, 2019
Krishna, Akula Longboat Key 121593-8W March 11, 2019
Lenn, Nicholas Bronxville 183671-7W March 11, 2019
Lichy, Jacob New York 122218-1W March 11, 2019
Lifshitz, Seymour North Bellmore 150359-8W March 11, 2019
Mastrangelo, John Rome P02892-9W March 11, 2019
Mattison, Richard Hershey 118940-6W March 11, 2019
McClosky, Stacy Fairlawn C10176-8W March 11, 2019
McDermott, Sioban Pauline-Lucy Indialantic 201799-4W March 11, 2019
Michel, Frantz Brooklyn 200367-1W March 11, 2019
Morrissey, Kevin New York 099143-0W March 11, 2019
Murphy, Edward Fairfield 167185-8W March 11, 2019
Ormanoski, Margaret Nicholasville 199545-5W March 11, 2019
Patta, Annie Herkimer 268822-4W March 12, 2019
Patton, Kimberley Greenville 182260-0W March 12, 2019
Pelechaty, Michael John, Jr. West Seneca 206551-4W March 12, 2019
Pitman, Mark New York 079776-1W March 12, 2019
Platt, Anne Eastport 153509-5W March 12, 2019
Prasad, N. Heramba Syracuse 157203-1W March 12, 2019
Resnick, Steven Boulder 199481-3W March 12, 2019
Resurreccion, Marilyn Rockaway Park 113736-3W March 12, 2019
Ricciardelli, John Smithtown 160146-7W March 12, 2019
Richart, Ralph Palo Alto 089755-3W March 12, 2019
Rock, Linda New York 135422-4W March 12, 2019
Rosenbaum, Arthur New York P02443-1W March 12, 2019
Ruggiero, Patrick Vestal 174398-8W March 12, 2019
Sabrkesh, Ali Staten Island 105266-1W March 12, 2019
Saluja, Iqbal Brooklyn 117843-3W March 11, 2019
Siegel, Richard Birmingham 145338-0W March 11, 2019
Simon, Michael J. Washington S05778-6W March 11, 2019
Spodek, Irving Smithtown 087325-7W March 12, 2019
Stubenbord, John East Aurora 126698-0W March 12, 2019
Tang, Gloria Silver Spring 126707-9W March 12, 2019
Thio, Anthony Tarrytown 133417-6W March 12, 2019
Thornton, Joan Syracuse 169646-7W March 12, 2019
Tuchman, Marcel New York 077490-1W March 12, 2019
Viscusi, Melinda Old Westbury P05818-1W March 12, 2019
Winiecki, Dennis East Amherst P02729-3W March 12, 2019
Zuckerman, Marvin New York 075352-5W March 11, 2019
Richlin, David Flanders 124188-4W March 18, 2019
Williams, Robert Troy S07679-4W March 25, 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.

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