Subject Numbers Regarding Health Provider Authorizations
June 2, 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 |
|---|---|---|---|
| William Carroll, MD | Trumansburg | 195710-9W | March 10, 2020 |
| Sujit Chakrabarti, MD | Staten Island | 111181-4W | March 10, 2020 |
| Lucy Cheng, MD | Middletown | 274531-3W | March 10, 2020 |
| George Chiu, MD | Binghamton | 174038-0W | March 10, 2020 |
| Yan Chou, DPM | Geneva | P06826-3B | March 10, 2020 |
| John Conboy, MD | Getzville | 077230-1W | March 10, 2020 |
| Richard Curran, MD | Buffalo | 139621-7B | March 10, 2020 |
| Carol Van Rossum Decosta, MD | Brooklyn | 183780-6B | March 10, 2020 |
| Ruben Delgado, MD | Poughkeepsie | 137847-0W | March 10, 2020 |
| David Dobies, MD | Brooktondale | 160961-9W | March 10, 2020 |
| Mohammed El-Dakkak, MD | Brooklyn | 141621-3W | March 10, 2020 |
| Carl Englebardt, MD | Schenectady | 116555-4B | March 10, 2020 |
| Alan Folsom, MD | Plattsburgh | 096360-3W | March 10, 2020 |
| Michael Franklin, MD | Jericho | 147096-2W | March 10, 2020 |
| Robert Frisenda, MD | Poughkeepsie | 140446-6W | March 10, 2020 |
| Rosana Gnanajothy, MD | Cooperstown | 283306-9W | March 10, 2020 |
| Gabriel Goodwin, MD | Huntington | 267173-3W | March 10, 2020 |
| Urbano Gutierrez Guarin Jr., MD | New York | 185434-8B | March 10, 2020 |
| Sudarshan Gulati, MD | Williamsville | 122047-4W | March 10, 2020 |
| Timothy Hessert, MD | Rochester | 181721-2W | March 10, 2020 |
| Edward George Hixson Jr., MD | Saranac Lake | 118905-9W | March 10, 2020 |
| Stephen Hughes, MD | Albany | 177289-6W | March 10, 2020 |
| Soo Hurh, MD | Syracuse | 142040-5W | March 10, 2020 |
| Samah Jan, MD | New York | 258580-0B | March 10, 2020 |
| Jarred Johnson | Ithaca | 274233-6W | March 10, 2020 |
| Paul Kensicki, MD | Louisville | 150570-0W | March 10, 2020 |
| Justine Krawczyk, MD | Williamsville | 131443-4W | March 10, 2020 |
| Charles Krieger, DC | Astoria | C04117-0W | March 10, 2020 |
| Joseph Lin, MD | New Rochelle | 103402-4W | March 10, 2020 |
| Lixin Liu, MD | Stony Brook | 233167-6W | March 10, 2020 |
| John Lopes, MD | Oakdale | 145997-3W | March 10, 2020 |
| John Meagher, MD | Greenlawn | 078545-1W | March 10, 2020 |
| Taesun Moon, MD | Windber | 240499-4W | March 10, 2020 |
| Thomas Moore, MD | New York | 137110-3W | March 10, 2020 |
| Mary Napoleon, MD | Fairport | 145955-1B | March 11, 2020 |
| Christopher Nash, MD | Poughkeepsie | 094783-8B | March 10, 2020 |
| Samson Pachikara, MD | Ithaca | 203801-6W | March 10, 2020 |
| Kamal Pathak, MD | Corning | 123673-6W | March 10, 2020 |
| Arne Pedersen, MD | Naples | 172267-7B | March 10, 2020 |
| Fred Atkins Phillips Jr., MD | Greenfield Center | 085815-9W | March 10, 2020 |
| Gracia Pierre-Pierre, MD | Binghamton | 286652-3W | March 10, 2020 |
| Oscar Pineda, MD | Sodus | 102990-9W | March 10, 2020 |
| Marvin Prince, MD | Danbury | 087862-9W | March 10, 2020 |
| Robert Rakov, MD | Maybrook | 071444-4W | March 10, 2020 |
| Donald Robinson, MD | Eden | 129854-6W | March 10, 2020 |
| William Rogers, MD | Jupiter | 149162-0B | March 10, 2020 |
| Angela Rufa, DC | Ogdensburg | C07286-0B | March 10, 2020 |
| Mark Scelza, DC | Commack | C10516-5B | March 10, 2020 |
| Charles Schaeffer, MD | Cooperstown | 164193-5W | March 10, 2020 |
| Norman Scott, MD | Harrisville | 218380-4W | March 10, 2020 |
| Peter Sears, MD | Sun City Center | 075011-7W | March 10, 2020 |
| Alan Seymour, MD | Bay Shore | 178262-2W | March 10, 2020 |
| Edward Shekhter, DC | Manalapan | C12935-5W | March 10, 2020 |
| Frank Sherman, DC | Huntington Station | C06704-3B | March 10, 2020 |
| William Simmons, MD | Wexford | 203351-2W | March 10, 2020 |
| Jose Wong Siu, MD | Brooklyn | 117889-6W | March 10, 2020 |
| Alan Snart, MD | Westmont | 091881-3W | March 10, 2020 |
| Maria Spinak, MD | Pearl River | 121835-3W | March 10, 2020 |
| Martin Szafran, MD | Stony Brook | 266000-9W | March 10, 2020 |
| Jennifer Thompson, DC | Montgomery | C10556-1B | March 10, 2020 |
| James Traver, MD | Syracuse | 174448-1W | March 10, 2020 |
| Salvador Udagawa, MD | Lakeview | 117941-5W | March 10, 2020 |
| Nicolas Uzcategui, MD | Mesa | 250432-2B | March 10, 2020 |
| Ronald Van Heertum, MD | Pennington | 099012-7W | March 10, 2020 |
| Nicholas Waslyn, DC | Lakeland | C05637-6B | March 10, 2020 |
| Martin Watsky, MD | Lindenhurst | 108641-2W | March 10, 2020 |
* 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