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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. 046-1241

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

Date: December 17, 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
Aleksandrova, Olga Windermere 291406-7W October 24, 2019
Barker, Stephen L. Jamesville 162403-0W October 24, 2019
Carroll, William Joseph Stony Brook 290008-2W October 24, 2019
Castro, Garcia Jose Luis Edgewater 145792-8W October 25, 2019
Chapman, Terence Neil Columbia 239651-3W October 25, 2019
Chi, Yu-Ching New Hyde Park P06799-2W October 25, 2019
Chikkappa, Gundabhaktha Watervliet 108781-6W October 25, 2019
Clark, Julian J. Brooklyn 086115-3W October 25, 2019
Cyriac, Ignatius New Port Richie 126456-3W October 25, 2019
D'Alessandro, Thomas Northport 185417-3W October 25, 2019
De Vincentis, Anthony Francis Orchard Park P02275-7W October 25, 2019
Demarco, Charles L. New York C01098-5W October 25, 2019
Fan, Rung Tan Great Neck 140881-4W October 25, 2019
Farley, Timothy John Clarks Summit 166572-8W October 25, 2019
Farnad, Shahbaz A. New York 274946-3W October 25, 2019
Fox, Paul J. Brooklyn 129977-5W October 25, 2019
Freilich, Dennis Byron New York 082694-1W October 25, 2019
Gelfand, Samuel Marvin Arlington 048128-3W October 25, 2019
Gentile, Mario Pocomoke City 168027-1W October 25, 2019
Gerardi, Robert Atlanta S10889-4W October 25, 2019
Givre, Sheree Dawn Raleigh 165255-1W October 25, 2019
Goldman, Harold S. Rye 086362-1W October 25, 2019
Goldman, Steven L. Northport 106700-8W October 25, 2019
Hamid, Muhammad East Meadow 192776-3W October 25, 2019
Heilbraun, Martin L. Tucson 087651-6W October 25, 2019
Howard, George M. Dobb Ferry 084254-2W October 25, 2019
Hurd, Beverly White New York 138511-1W October 25, 2019
Hyman, Frederic Evan Mount Kisco 110986-7W October 25, 2019
James, Stephen Bruce Cumming 202617-7B October 25, 2019
Kandiyil, Prabhna Naveen Fort Worth 241672-5W October 25, 2019
Khatib, Reza Palm City 098762-8W October 25, 2019
Kim, Jin Bai Binghamton 179395-9W October 25, 2019
Kim, Sung Uk New Hyde Park 105860-1W October 25, 2019
Klein, Steven E. Bozeman 162359-4W October 25, 2019
Kurian, Leslie David Pound Ridge 106389-0W October 30, 2019
Lane, Bernard Paul Setauket 092416-7W October 30, 2019
Lanyi, Valery Fenyvesi New York 087272-1W October 30, 2019
Larocca, Albert W. Bethpage P02918-2W October 30, 2019
Lee, Marvin Soon Mook Painted Post 113108-5W October 30, 2019
Lee, Se Won Bronx 254769-3W October 30, 2019
Lee, Shin Ok Forest Hills 123546-4W October 30, 2019
Lewy, Robert M. Blauvelt 124623-0W October 30, 2019
Lucak, Basil K. New York 124568-7W October 30, 2019
Mansouri, Hormoz Syosset 111418-0W October 30, 2019
Mason, Robert A. Buskirk 140924-2W October 30, 2019
Merlino, John A. Staten Island P02642-8W October 30, 2019
Miner, George W. Great Neck 130819-6W October 30, 2019
Moffat, Douglas Howard Buffalo 142675-8W October 30, 2019
Nydick, Irwin Bronxville 074776-6W October 30, 2019
Panahon, Alvin M. Niagara Falls 115312-1W October 30, 2019
Pernier, Jean Pierre Claude Brooklyn 157407-8W October 30, 2019
Pinard, Brian Edward Glen Cove 169702-8W October 30, 2019
Reid-Thornton, Ruth Anne Long Beach 197816-2W October 29, 2019
Richman, Drew Ames Newburgh P02356-5W October 29, 2019
Rus, Krzysztof Andrzej Stony Brook 289704-9W October 29, 2019
Saroli, Stephen Joseph Woodstock C05861-2W October 29, 2019
Scotti, Pasquale John Bayside 101507-2W October 31, 2019
Sears, Kendrick Alan Jamesville 087062-6W October 31, 2019
Sheikh, Umair Medford 290113-0W October 30, 2019
Shorofsky, Morris Aaron New York 086723-4W October 30, 2019
Sierecki, Mitchell Robert Cold Springs Harbor 254407-0W October 31, 2019
Skalski, James Cheektowaga P03488-4W October 31, 2019
Sloan, Douglas Edward Midvale 163386-6W October 31, 2019
Smith, David N. Fairport 128352-2W October 31, 2019
Solanki, Shalini Valley Stream 284418-1W October 30, 2019
Steiger, Norman Mamaroneck 097603-5W October 31, 2019
Struck, Kent Darrow Vestal 158126-3W October 31, 2019
Takita, Hiroshi Buffalo 097606-8W October 31, 2019
Tashman John Spencer Longmont 201675-6W October 30, 2019
Teeter, Jennifer Marie Jeffersonville 250143-5W October 31, 2019
Trager, Donald Roger Boca Raton C01237-9W October 31, 2019
Wilber, Monte Dean Friendswood 249059-7W October 31, 2019
Wolsh, Loren Vestal 114918-6W October 31, 2019
Yui, Cheung B. Bayside 125373-1W October 31, 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