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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. 046-1229

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

Date: November 14, 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
Adjei, Paul Carl Montgomery Village 272590-1W September 11, 2019
Albert, John Moore Roslyn 289195-0W September 11, 2019
Ashraf, Sadia Bedford 289009-3W September 11, 2019
Bartalos, Michael K. Bronx 108876-4W September 11, 2019
Begell, Suzanne R. Syracuse C07300-9W September 12, 2019
Bennett, Edward V., Jr. Albany 140950-7W September 11, 2019
Boxt, Lawrence M. Englewood 124019-1W September 11, 2019
Brooks, Michael Palm Beach Gardens 112108-6W September 12, 2019
Brown, Elana Brooklyn C05305-0W September 11, 2019
Calleja, Gregorio A. Rockaway Park 148093-8W September 11, 2019
Cardina, Timothy Michael Ithaca 137066-7W September 11, 2019
Carlson, John Andrew Albany 196363-6W September 11, 2019
Chaudhry, Farrukh Ali Roosevelt 231671-9W September 11, 2019
Cheung, Yiu Cheung New York 118965-3W September 11, 2019
Daggett, Brian George Valatie 146777-8W September 11, 2019
Decarolis, Patrick G. Roslyn C05595-6W September 11, 2019
Decker, Melissa R. Saratoga Springs 249393-0W September 11, 2019
Detrinis, Vincent Paul Port Jefferson Station C04504-9W September 11, 2019
Di Santo, Vinson M. Springdale 253755-3I September 4, 2019
Farber, Alan M. Nanuet P02362-3W September 11, 2019
Frankel, Shimon Melech Passaic 247713-1W September 11, 2019
Gambale, Gerald Joseph Brooklyn P04936-2W September 11, 2019
Gelb, Alvin Meyer New York 079498-2W September 11, 2019
Gerber, Leonard Stuart Poughkeepsie P03356-4W September 11, 2019
Hetland, Ruth Ellen Rochester 149798-1W September 11, 2019
James, Nicholas Mineola 128243-3W September 12, 2019
Johnson, David Norman Buffalo 139434-5W September 12, 2019
Kachurek, David P. Delmar 262921-0W September 12, 2019
Kamlet, Jerome New York 090019-1W September 12, 2019
Kashefsky, Helene Pamela Brooklyn P05030-3W September 12, 2019
Kelley, David Wayne Maumelle 258862-2W September 13, 2019
Khan, Mulazim H. Carthage 113496-4W September 12, 2019
Kuan, Joven Gurdiel Watertown 111983-3W September 12, 2019
Laudando, Deborah M. Bayside C07259-7W September 12, 2019
Laude, Amy Kristin Bronx 270733-9W September 12, 2019
Leonti, Vincent Endicott 151611-1W September 12, 2019
Letourneau, Thomas G. Sausalito 128296-1B September 11, 2019
Lichtenstein, Peter David New Paltz C07174-8W September 11, 2019
Malebranche, Roger J. Broadalbin 102844-8W September 11, 2019
Malsan, Richard P. Delmar 089688-6W September 11, 2019
Mantia, Philip Anthony Nesconset 094617-8W September 11, 2019
Marks, Natalia Malgorzata Charleston 290264-1W September 9, 2019
Melnick, Robert Norman Worcester 079834-8W September 11, 2019
Millora, Angel B. Loudonville 109982-9W September 11, 2019
Minano, Cecilia Middletown 247086-2W September 11, 2019
Norris, James E C New York 093627-8W September 11, 2019
Onaodowan, Onajite Vestal 270582-0W September 12, 2019
Osborn, Thomas Irvin Manlius 116333-6W September 11, 2019
Ostuni, John Anthony Massapequa 112891-7W September 11, 2019
Pedraza-Negron, Solimar Parkland 257440-8W September 12, 2019
Pena, Cecilia Sarasota 275957-9W September 11, 2019
Puthumana, Neal George Syracuse 255138-0W September 11, 2019
Rohrlich, Jay B. New York 101232-7W September 13, 2019
Sam, Stanley Stony Brook 255524-1W September 11, 2019
Sands, Mark Fredric Williamsville 161832-1W September 11, 2019
Schulman, Leonard B. Yonkers P01763-3W September 11, 2019
Schwartz, Aaron M. Armonk 073320-4W September 11, 2019
Shahem, Daher Brooklyn 224199-0W September 11, 2019
Shaw, Ryan Eames Glenville C12507-2W September 11, 2019
Shehata, Monda Lotfy Mansour Syracuse 289450-9W September 11, 2019
Simonetti, Clifford Paul Putnam Valley 147160-6W September 11, 2019
Simpao, Jose Rodriguez, Jr. Las Vegas 162398-2W September 12, 2019
Stanley, Susan Mary Stony Brook 254581-2W September 12, 2019
Strauss, Elliot Fresh Meadows C03775-6W September 12, 2019
Sullivan, Barbara Eileen Port Jefferson Stn 081795-7W September 12, 2019
Summers, Brenda Joyce Bronx P04799-4W September 12, 2019
Tan, Beng Jit Naples 231029-0W September 12, 2019
Vanmaaren, Brianna Polly Meridale 227006-4W September 12, 2019
Volpe, Michael F. Staten Island 129309-1W September 12, 2019
Wagner, Wayne Paul Goldsboro C09027-6W September 12, 2019
Watson, Eileen Williamsville 196677-9W September 12, 2019
Wynter, Clifton Davis South Dartmouth 172638-9W September 12, 2019
Yudin, Howard S. Purchase 154986-9W September 12, 2019
Zeb, Annie North Bellmore P06794-3W September 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.

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