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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. 046-1209

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

Date: August 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
Hammer, Charles Hsiang Anesthesiology Rochester 299341-8W August 27, 2019
Kellermier, Cyrus Van Anesthesiology Rochester 298930-9W August 27, 2019
Sakr, Ashraf Mohamed Anesthesiology, Pain Management Brooklyn 299354-1W August 12, 2019
Shulkin, Roman Anesthesiology, Pain Management Brooklyn 298411-0W August 13, 2019
Bacon, Jaelle Tamara Chiropractic Buffalo C13139-3W August 9, 2019
Bennett, Ian Alastair Chiropractic Pawling C13252-4B August 9, 2019
Clarke, Kaitlyn Theresa Chiropractic Ridgewood C12467-9W August 9, 2019
Gagan, Timothy Aloysius Chiropractic Webster C13190-6W August 9, 2019
Isbrandt, Robert J. Chiropractic Cheektowaga C13256-5B August 9, 2019
Nowicki, Zachary Alexander Chiropractic Bayport C13155-9W August 9, 2019
Radpasand, Mohsen Chiropractic New Rochelle C11944-8B August 9, 2019
Lambert, Smith Franki Lenae Dermatology Rochester 298333-6W August 22, 2019
Plovanich, Molly Elizabeth Dermatology Hamlin 299025-7W August 27, 2019
Altman, Sam Diagnostic Radiology New York 278942-8W August 9, 2019
Jhanwar, Yuliya Samiksha Diagnostic Radiology, Nuclear Medicine Mount Kisco 230871-6B August 13, 2019
Menashe, Leo Hughes Diagnostic Radiology Brooklyn 282488-6W August 12, 2019
Simpson, William Louie, Jr. Diagnostic Radiology New York 202773-8W August 9, 2019
Camara, Matthew Peter Emergency Medicine Syracuse 299946-4W August 9, 2019
Fiorini, Melissa Marie Emergency Medicine Latham 217942-2B August 5, 2019
Katz, Alan A. Emergency Medicine Port Washington 186909-8W August 19, 2019
Lubliner, Eric Emergency medicine Brooklyn 238885-8W August 13, 2019
Menkes, Leo Emergency Medicine Brooklyn 243528-7W August 27, 2019
Schuster, Lindsey Rose Emergency Medicine Selden 256112-4W August 12, 2019
Yamamoto, Julienne Ashley Emergency Medicine Syracuse 298079-5W August 13, 2019
Bushman, Carly S. Family Practice Levittown 289752-8W August 9, 2019
Chang, Sarah Family Practice Canandaigua 295832-0W August 12, 2019
Chopra, Aarti Family Practice Astoria 295554-0W August 19, 2019
Coicou, Caroline Anne Family Practice Brooklyn 285176-4W August 12, 2019
Cunnington, Laura Ann Family Practice Cooperstown 298227-0W August 9, 2019
Dworsky, Bryan William Family Practice Ravena 297621-5W August 27, 2019
Dyster, John G. Family Practice Lewiston 166794-8W August 22, 2019
Han, George Kim Family Practice New York 291540-3W August 12, 2019
Heins, Carolyn Mary Family Practice Albany 299061-2W August 12, 2019
Jefferson, Joni Felicia Family Practice Uniondale 282442-3W August 9, 2019
Levinsohn, Susan Florence Family Practice Syracuse 295689-4W August 12, 2019
Pani, Anupama Family Practice Briarcliff Manor 228991-6B August 13, 2019
Slezinger-Mejia, Albert Family Practice Bronx 271429-3W August 9, 2019
Steinmetz, Lauren L. Family Practice Orchard Park 281443-2B August 22, 2019
Tu Ting, Jia Family Practice New York 294035-1W August 12, 2019
Bannister, Annemarie Laurri Internal Medicine Niagara Falls 290107-2W August 12, 2019
Chan, Terrence Anthony Internal Medicine, Medical Oncology Corona 178615-1W August 19, 2019
Devkota, Kriti Internal Medicine, Nephrology Syracuse 294876-8W August 12, 2019
Gallegos, Dargon Ian Felipe Internal Medicine, Pediatrics Syracuse 297884-9W August 9, 2019
Halbert, Travis Weston Internal Medicine Mount Kisco 296978-0W August 13, 2019
Hamid, Nauman Internal Medicine, Pulmonary Diseases, Critical Care Medicine Syracuse 294881-8W August 23, 2019
Ilyagu, Mark Internal Medicine Brooklyn 295645-6W August 13, 2019
Lee, Sophia Sun Young Internal Medicine Middletown 205952-5B August 9, 2019
Mavroson, Matthew Nicholas Internal Medicine Bayside 281826-8W August 9, 2019
Qubti, Marzouq Awni Internal Medicine, Rheumatology Saranac Lake 265130-5W August 15, 2019
Shepard, David Lee Internal Medicine Jamestown 208190-9W August 22, 2019
Stern, Alexandra Internal Medicine, Cardiovascular Disease New York 187242-3B August 9, 2019
Kimmell, Kristopher Thomas Neurological Surgery Rochester 285417-2W August 27, 2019
Ali, Sara Tawakol Gamil Neurology Syracuse 291270-7W August 12, 2019
Otite, Fadar Oliver Neurology Syracuse 298744-4W August 12, 2019
Pitts, Thomas Charles Neurology New York 289410-3W August 12, 2019
Titoff, Igor Borisovich Neurology Rochester 300333-2W August 27, 2019
Berck, David Joseph Obstetrics/Gynecology, Maternal/Fetal Medicine Mount Kisco 202313-3B August 13, 2019
Cape, Alison Victoria Obstetrics/Gynecology, Maternal/Fetal Medicine Mount Kisco 256061-3B August 13, 2019
Cumella, Angelo Obstetrics/Gynecology Brewster 167742-6B August 13, 2019
Gannon, Jennifer Botte Obstetrics/Gynecology Mount Kisco 236273-9B August 13, 2019
Gore, Stephanie Elaine Obstetrics/Gynecology Mount Kisco 276063-5B August 13, 2019
Katz, Jeffrey Brian Obstetrics/Gynecology Carmel 193160-9B August 13, 2019
Kaye, Laura M. Obstetrics/Gynecology Carmel 199627-1B August 13, 2019
Keller, Adina Holand Obstetrics/Gynecology Mount Kisco 199324-5B August 13, 2019
Parapurath, Jyothi Obstetrics/Gynecology Carmel 249642-0B August 13, 2019
Partouche, Yafit Obstetrics/Gynecology Katonah 258869-7B August 13, 2019
Pierce, Megan Marie                     Obstetrics/Gynecology Jefferson Valley 247948-3B August 13, 2019
Trakht, Asya Obstetrics/Gynecology Brewster 231397-1B August 5, 2019
Yazdanyar, Amirfarbod Ophthalmology Syracuse 285397-6W August 23, 2019
Banagan, Kelley Elizabeth Orthopedic Surgery Albany 299999-3W August 27, 2019
Blevins, Jason Orthopedic Surgery New York 275663-3W August 12, 2019
Boccio, Richard Orthopedic Surgery Huntington 172659-5B August 21, 2019
Hansen, Derek Gartland Orthopedic Surgery New York 275158-4W August 13, 2019
Hushmendy, Shazaan Orthopedic Surgery Plainview 293711-8W August 5, 2019
Nwachukwu, Benedict Orthopedic Surgery New York 276191-4W August 13, 2019
Smith, Jared Michael Orthopedic Surgery Corning 297745-2W August 12, 2019
Tetrault, Matthew William Orthopedic Surgery Albany 299366-5W August 22, 2019
Araim, Rawa Physical Medicine/Rehabilitation Elmira 294082-3W August 12, 2019
Bhaidasna, Jeet Physical Medicine/Rehabilitation Hampton Bays 282447-2B August 9, 2019
Samuels, Blossom Patricia Physical Medicine/Rehabilitation West Haverstraw 290512-3W August 14, 2019
Singh, Simer Preet Physical Medicine/Rehabilitation, Pain Management, Spinal Cord Injury Medicine Rochester 269366-1W August 12, 2019
Patrick, Andrew Psychiatry Brooklyn 246895-7W August 9, 2019
Prabhu, Vinay Radiology – Diagnostic Radiology New York 285702-7W August 9, 2019
Vitto, Marco Diego Radiology – Diagnostic Radiology Albany 271645-4W August 27, 2019
Aversano, Frank R. Surgery Suffern 274308-6W August 22, 2019
Boyle, Sean Patrick Surgery, Surgical Critical Care Slingerlands 278565-7W August 12, 2019
Mix, Doran S. Surgery – General Vascular Surgery Rochester 280161-1W August 27, 2019
Suarez, David Peter Surgery Bronxville 245996-4W August 12, 2019
Taddeo, Joseph Robert Surgery, Surgical Critical Care Bronx 185649-1W August 12, 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