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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. 046-1259

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

Date: January 23, 2020

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
Abel, Rosalind B. Chestnut Ridge P02587-5W November 25, 2019
Bodamer, Wayne Joseph Smithtown P03889-4W November 25, 2019
Bubach, Patricia Ann Central Square C06748-0W November 25, 2019
Burstein, Paul N. Boynton Beach 084536-2W November 25, 2019
Camurati, Claudia Key Largo P04368-8B November 25, 2019
Cancroft, Elizabeth Therese Shelter Island Heights 091376-4W November 25, 2019
Chang, Timothy Chen Wea West Nyack 114416-1W November 25, 2019
Chaudhary, Neeta Dalsang Stony Brook 281941-7W November 25, 2019
Crossman, Max L. Whitehall 152910-6W November 25, 2019
Davis, Adebanke Christelle Middletown 290393-8W November 25, 2019
Dawli, Naim A. Buffalo 133835-9W November 25, 2019
Divack, Daniel Murray Great Neck 082407-8W November 25, 2019
Domesek, James M. Port St. Lucie 195477-5W November 25, 2019
Elias, Brian Staten Island C07208-4W November 25, 2019
Epstein, Nancy E. Mineola 131881-5W November 26, 2019
Fain, Angela A. Katonah C11522-2W November 25, 2019
Firestein, Stephen K. New York 073106-7W November 25, 2019
Fischer, Ariel Poughkeepsie 159122-1W November 25, 2019
Fitzgerald, Robert James Port Washington 087570-8W November 25, 2019
Giannangeli, Giancarlo Somers 150084-2W November 25, 2019
Gupta, Brijesh K. New Hyde Park 111296-0W November 25, 2019
Hakim-Elahi, Enayat Setauket 102232-6W November 25, 2019
Hutchinson, John E., 3D Upper Grandview 092795-4W November 25, 2019
Iyer, Kamla S. Hewlett 118354-0W November 25, 2019
Jensen, Raymond J. Amityville 132857-4W November 25, 2019
Kanegis, Alvin J. Westbury P01931-6W November 25, 2019
Kaplowitz, Kevin Loma Linda 266082-7W November 25, 2019
Kataya, Abdo Chafic Holbrook 258880-4B November 25, 2019
Kaufman, Sherwin Allen New York 042228-7W November 25, 2019
Kennedy, Francis Keith Binghamton 092165-0W November 25, 2019
Kinkel, William R. Orchard Park 083465-5W November 25, 2019
Kumar, Ish Rawal Baldwin 110538-6B November 25, 2019
Kurdali, Basil Bronx 264022-5W November 25, 2019
Kuzhikatil, Achuthan Vindya Monroe 246477-4W November 25, 2019
Kwon, C. Stephan New York 112120-1W November 25, 2019
Lazo, Dante Torrijos Flushing 185982-6W November 25, 2019
Leadon, Joseph George Fresh Meadows 169355-5W November 25, 2019
Levy, Bruce Carl Plainview 076783-0W November 25, 2019
Lin, Eric Yii Luh Vestal 126795-4W November 25, 2019
Lorich, Dean Gerard New York 202834-8W November 25, 2019
Mandel, Harvey Bronx 098106-8W November 25, 2019
McAuliffe, John Daniel Plattsburgh 185730-9W November 25, 2019
Miller, Jean Keller Bronxville 085890-2W November 25, 2019
Miller, Paul Jonas Garden City 072785-9W November 25, 2019
O’Shaughnessy, Alice Marie Farmingdale 107072-1W November 25, 2019
Oliver-Vidaud, Rafael Davie 159571-9W November 25, 2019
Ounjian, John Ohannes Forest Hills 083101-6W November 25, 2019
Pasternack, Warren A. East Brunswick P02967-9W November 25, 2019
Patel, Prerana Narendrakumar Springfield 273037-2W November 25, 2019
Peeples, Brandis Shaleece Brooklyn C11085-0W November 25, 2019
Pita-Acevedo, Dora Oviedo 195335-5W November 25, 2019
Quarrier, John V. Troy 162364-4W November 25, 2019
Ransom, Raymond Wesley New York 107318-8W November 25, 2019
Rosenberg, Barry Steven Dix Hills 160954-4W November 25, 2019
Rosensky, Stewart L. Kings Park P02295-5W November 25, 2019
Sanzone, Anthony Joseph Johnson City P04135-1W November 25, 2019
Schranz, Howard New York 135302-8W November 25, 2019
Shappell, Stephen Daniel Wilmington 098444-3W November 25, 2019
Sigrest, Barbara B. Sparta 238549-0W November 25, 2019
Speeckaert, Amy Lynne Middletown 284961-0W November 25, 2019
Strauss, Robert W., Jr. Cincinnati 165826-9W November 25, 2019
Tesser, Mark F. Brooklyn 124482-1W November 25, 2019
Verby, Jon R. Amherst 132983-3W November 25, 2019
Wakily, Hussna Astoria 274783-0W November 25, 2019
Wilde, Don J. Warwick S15020-1W November 25, 2019
Woldenberg, David Harold New York 082712-1W November 25, 2019
Yilmaz, Aldemir Northport 098377-5W November 25, 2019
Zito, Joseph Louis Manhasset 125541-3W November 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