Subject Numbers Regarding Health Provider Authorizations
January 23, 2020
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 |
|---|---|---|---|---|
| Anastasian, George Ardash | Anesthesiology | White Plains | 234420-8W | December 16, 2019 |
| Bento, Andrew Francis | Anesthesiology | West Harrison | 288271-0W | December 13, 2019 |
| Chen, Alisa Y. | Anesthesiology | West Harrison | 289493-9W | December 13, 2019 |
| Joseph, Darcie | Anesthesiology | Rocky Point | 283397-8W | December 13, 2019 |
| Liu, Roy Ruoxin | Anesthesiology, Pain Management | Ardsley | 287628-2W | December 4, 2019 |
| Maryansky, Aleksey | Anesthesiology | New York | 292839-8I | December 13, 2019 |
| Nayshtut, Michael | Anesthesiology | Staten Island | 268323-3B | December 13, 2019 |
| Pashkova, Anna Aleksandrovna | Anesthesiology, Pain Management | New York | 292772-1W | December 16, 2019 |
| Singh, Rohit G. | Anesthesiology, Pain Management | Binghamton | 231976-2W | December 16, 2019 |
| Swong, Michael Nakkyung | Anesthesiology | Roslyn | 288907-9W | December 26, 2019 |
| Gomez, Joseph Francis | Cardiovascular | Olean | 198335-2W | December 26, 2019 |
| Perera, Rohan Gerard | Cardiovascular | East Setauket | 207987-9W | December 13, 2019 |
| Borisov, Oleg | Chiropractic | Brooklyn | C10697-3W | December 16, 2019 |
| Casella, Joseph P. | Chiropractic | New York | C09606-7W | December 16, 2019 |
| Clothier, Susann Helene | Chiropractic | Chili | C12065-1W | December 16, 2019 |
| Froenicke, Nikita Shea | Chiropractic | Staten Island | C12241-8W | December 16, 2019 |
| Holland, Daniel James | Chiropractic | Nesconset | C11216-1B | December 16, 2019 |
| Kenul, Dillon | Chiropractic | East Patchogue | C13288-8W | December 16, 2019 |
| Koslowski, Kyle | Chiropractic | Hopewell Junction | C13293-8W | December 16, 2019 |
| Krebs, Erik Tyler | Chiropractic | Warwick | C12674-0W | December 16, 2019 |
| Lee, Nelson | Chiropractic | Glen Cove | C12864-7W | December 16, 2019 |
| O’Hagan, Kevin | Chiropractic | Rochester | C13257-3W | December 16, 2019 |
| Rodgers, Bethany Michelle | Chiropractic | Rochester | C13197-1W | December 16, 2019 |
| Shin, Edward D. | Chiropractic | Flushing | C13130-2W | December 16, 2019 |
| Somers, Kathryn Elizabeth | Dermatology | Rochester | 282404-3W | December 13, 2019 |
| Arneja, Amrita Kaur | Diagnostic Radiology, Neuroradiology | New York | 288702-4B | December 26, 2019 |
| Bashist, Benjamin | Diagnostic Radiology | New York | 128175-7W | December 26, 2019 |
| Burak, Jarett Savas | Diagnostic Radiology | Roslyn | 243145-0W | December 26, 2019 |
| Dawson, Damien O. | Diagnostic Radiology | Rochester | 256876-4W | December 26, 2019 |
| Dossous, Paul-Michel Fontaine | Diagnostic Radiology | Hempstead | 272697-4W | December 27, 2019 |
| Ellis, Colin Michael | Diagnostic Radiology | Albany | 298810-3W | December 26, 2019 |
| Kagen, Alexander Cates | Diagnostic Radiology | New York | 240310-3W | December 26, 2019 |
| Kamath, Amita | Diagnostic Radiology | New York | 252648-1W | December 26, 2019 |
| Lecompte, Lesli Michele | Diagnostic Radiology | Mt Kisco | 265472-1B | December 27, 2019 |
| Monteferrante, Mark Letterio | Diagnostic Radiology | Hartsdale | 185036-1W | December 13, 2019 |
| McCall, Charles Louis | Diagnostic Radiology | Williamsville | 297548-0W | December 26, 2019 |
| Rahman, Akm Ashfaqur | Diagnostic Radiology, Neuroradiology | Pittsford | 275894-4W | December 16, 2019 |
| Weissmann, Murray H. | Diagnostic Radiology | Williamsville | 120865-1W | December 26, 2019 |
| Baghizadeh-Toosi, Babak | Emergency Medicine | Bronx | 202898-3W | December 16, 2019 |
| Berry, Brian Matthew | Emergency Medicine | Syracuse | 265435-8W | December 13, 2019 |
| Chen, Samantha C. | Emergency Medicine | Uniondale | 246931-0W | December 26, 2019 |
| Dersarkissian, Carol | Emergency Medicine | Uniondale | 221060-7W | December 26, 2019 |
| Lupow, Jason Brett | Emergency Medicine | Rye Brook | 237641-6W | December 16, 2019 |
| Teigman, Alan Joshua | Emergency Medicine | Scarsdale | 247250-4W | December 13, 2019 |
| Tieng, Nelson Leo | Emergency Medicine | Scarsdale | 231219-7W | December 13, 2019 |
| Sokolik, Lauren Marie | Emergency Medicine | Uniondale | 282994-3W | December 26, 2019 |
| Verma, Gaurav | Emergency Medicine | Uniondale | 271968-0W | December 26, 2019 |
| Aggarwal, Abhinn | Family Practice | Binghamton | 300045-2W | December 13, 2019 |
| Biondolillo, Christopher Charle | Family Practice | Buffalo | 280135-5W | December 26, 2019 |
| Capin, Allan Alberto | Family Practice | Vestal | 295738-9W | December 18, 2019 |
| Dashevskiy, Mark | Family Practice | Brooklyn | 223331-0W | December 13, 2019 |
| Haque, Seeam Nur | Family Practice | Forest Hills | 296018-5W | December 27, 2019 |
| Kishore, Varsha | Family Practice | Binghamton | 297826-0W | December 13, 2019 |
| LaCarrubba, Sarah Anne | Family Practice | Bronx | 268992-5W | December 16, 2019 |
| Liu, Richard | Family Practice | New York | 290686-5W | December 26, 2019 |
| Padamadan, Hosi | Family Practice | Uniondale | 286560-8W | December 26, 2019 |
| Talat, Afnan | Family Practice | Uniondale | 296642-2W | December 26, 2019 |
| Stringham, Alison Spring-Rowell | Family Practice | Cicero | 299638-7W | December 13, 2019 |
| Young, Jocelyn Colleen | Family Practice | Johnson City | 290096-7W | December 27, 2019 |
| Ziegler, Sharon Lynn | Family Practice | Ithaca | 187809-9W | December 13, 2019 |
| Bock, Devon E.M. | General Vascular Surgery | Glens Falls | 188618-3B | December 27, 2019 |
| Sultan, Tanveer Aslam | Infectious Diseases | Latham | 163626-5I | December 26, 2019 |
| Ahmed, Khadija Looloomarjan | Internal Medicine | Syracuse | 209478-7W | December 13, 2019 |
| Anderson, Kathryn Brooke | Internal Medicine | Syracuse | 299616-3W | December 13, 2019 |
| Daly, Margaret Ann | Internal Medicine | Yonkers | 293322-4W | December 13, 2019 |
| Griffiths, Frederick Sten | Internal Medicine | Albany | 283445-5W | December 13, 2019 |
| Halbert, Travis Weston | Internal Medicine | Mount Kisco | 296978-0B | December 13, 2019 |
| Listopadzki, Dariusz Jaroslaw | Internal Medicine | Painted Post | 234124-6W | December 13, 2019 |
| Lorch, Emily Kate | Internal Medicine | Yonkers | 247304-9W | December 16, 2019 |
| Martirossian, Linet | Internal Medicine, Rheumatology | Cooperstown | 299301-2W | December 16, 2019 |
| Mohindra, Reena Puri | Internal Medicine | Yorktown Heights | 217765-7W | December 13, 2019 |
| Nayyar, Kamal | Internal Medicine | Bohemia | 287713-2W | December 13, 2019 |
| Nazareth, Joanne Maria | Internal Medicine | Hornell | 300248-2W | December 13, 2019 |
| Patel, Eric | Internal Medicine | Mt Kisco | 301240-8B | December 13, 2019 |
| Sidari, Anthony Paul | Internal Medicine, Rheumatology | Ithaca | 299401-0W | December 13, 2019 |
| Weiss, Allen Johnathan | Internal Medicine | West Harrison | 293992-4W | December 13, 2019 |
| Yashi, Kanica | Internal Medicine | Syracuse | 299771-6W | December 16, 2019 |
| Francis Faiz D. | Interventional Radiology and Diagnostic Radiology | Williamsville | 298246-0B | December 13, 2019 |
| Gaudin, Xavier Paul | Neurological Surgery | Rockville Centre | 298195-9W | December 13, 2019 |
| Smith, Michael Louis | Neurological Surgery | New York | 244016-2B | December 26, 2019 |
| Dakakni, Tarek | Neurology | Albany | 274360-7I | December 16, 2019 |
| Fonzetti, Pasquale | Neurology | Purchase | 216708-8W | December 13, 2019 |
| Kaye, Edward David | Neurology | Rochester | 300503-0W | December 13, 2019 |
| Velicu, Simona | Neurology | Kenmore | 290577-6W | December 16, 2019 |
| Wertheim, Iris | Obstetrics/Gynecology, Gynecologic Oncology | Mount Kisco | 202735-7B | December 13, 2019 |
| Wilson, Angela | Obstetrics/Gynecology | New York | 217328-4B | December 27, 2019 |
| Mehta, Amy Anjan | Ophthalmology | Queens | 291140-2W | December 13, 2019 |
| Hussamy, Omar David | Orthopedic Surgery | East Greenbush | 302183-9I | December 31, 2019 |
| Konda, Sanjit Reddy | Orthopedic Surgery | New York | 261627-4B | December 13, 2019 |
| Naik, Amish Atulbhai | Orthopedic Surgery | New York | 273305-3B | December 26, 2019 |
| Rutter, Michael Ryan | Orthopedic Surgery | Middletown | 300261-5W | December 16, 2019 |
| Trofa, David Paolo | Orthopedic Surgery | New York | 299439-0W | December 16, 2019 |
| Valente, Nicholas Donald | Orthopedic Surgery | Medina | 298894-7W | December 20, 2019 |
| Zilles, Michael McLaren | Orthopedic Surgery | Fishkill | 203112-8B | December 13, 2019 |
| Hassan, Shady Elsayed | Physical Medicine/Rehabilitation | Staten Island | 276803-4B | December 27, 2019 |
| Koutalianos, Evangeline Panayot | Physical Medicine/Rehabilitation, Pain Management | Syracuse | 299948-0W | December 13, 2019 |
| Kuruvilla, Bittu | Physical Medicine/Rehabilitation, Sports Medicine | White Plains | 290612-1W | December 13, 2019 |
| Rehman, Arkam | Physical Medicine/Rehabilitation, Pain Management | Floral Park | 298627-1W | December 13, 2019 |
| Yen, Gary L. | Physical Medicine/Rehabilitation, Pain Medicine | Brooklyn | 231999-4B | December 13, 2019 |
| Abraham, Zebib Kidane | Psychiatry | New York | 290433-2W | December 26, 2019 |
| Katz, Gabriel Gennady | Psychiatry | New York | 243254-0I | December 26, 2019 |
| Bromley, Glenn Garrett | Psychology | Pelham | S20188-9B | December 20, 2019 |
| Paluba, Gary V. | Psychology | New York | S06382-6W | December 20, 2019 |
| Rivera, Akeisha La Toya | Psychology | Rye Brook | S20809-0W | December 20, 2019 |
| Varsos, George | Radiation Oncology | Forest Hills | 178542-7W | December 13, 2019 |
| Marshall, Richard Aaron | Radiology – Diagnostic Radiology | Woodside | 292488-4W | December 4, 2019 |
| Feghali, Anthony Charles | Surgery | Syracuse | 298669-3W | December 26, 2019 |
| Vella, Michael Antonio | Surgery, Surgical Critical Care | Rochester | 298780-8W | December 10, 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