Subject Numbers Regarding Health Provider Authorizations
June 25, 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 |
|---|---|---|---|
| Abott, David P. | Brooklyn | C03701-2B | April 23, 2020 |
| Acuna, Luis Felipe | Merrick | 102298-7W | April 23, 2020 |
| Aggarwal, Vikram | Syracuse | 275397-8W | April 23, 2020 |
| Avagyan, Igor Zhorzhikovich | New York | 218312-7B | April 23, 2020 |
| Biss, Roger Thomas | Queensbury | 137334-9W | April 23, 2020 |
| Budnik, Theodora Stillman | Poughkeepsie | 130598-6W | April 23, 2020 |
| Burgdorf, David Marshall | Rome | C06578-1W | April 23, 2020 |
| Christensen, Shelley Ann | Sergeant | C12904-1B | April 23, 2020 |
| Cinelli, Rafael A. | New York | 126894-5W | April 23, 2020 |
| Cruickshank, David Gildersleeve | Southampton | 109090-1W | April 23, 2020 |
| D'Brant, Jeanne Edith | Fort Salonga | C04913-2B | April 23, 2020 |
| De Blasi, Joseph Francis | Staten Island | 106062-3W | April 23, 2020 |
| Dionne, Pierre Eugene | Olean | 174130-5W | April 23, 2020 |
| Ellison, Daniel Case S. | Glenfield | 133570-2W | April 23, 2020 |
| Ferrell, Joshua Charles | Olean | 284674-9W | April 23, 2020 |
| Finkelstein, Jacob E. | Rye | 092473-8W | April 23, 2020 |
| Fisher, Robert Louis | Mount Kisco | 225477-9W | April 23, 2020 |
| Forbes, William I., III | Watertown | 129388-5B | April 23, 2020 |
| Gan, Segundina Chua | Brooklyn | 117391-3W | April 23, 2020 |
| Garcia, Sonia I. | Rochester | 145434-7W | April 23, 2020 |
| Garg, Ritu | Syracuse | 285178-0W | April 23, 2020 |
| Geary, Joseph E. | Rochester | 083586-8W | April 23, 2020 |
| Golding, Douglas James | Hamburg | 202066-7I | April 23, 2020 |
| Guillet, Ernest George | Rochester | 159127-0W | April 23, 2020 |
| Hayman, Martin A. | Great River | 078242-5W | April 23, 2020 |
| Hecht, Alan Ira | Levittown | C03344-1B | April 23, 2020 |
| Hinds, John | White Plains | S11794-5W | April 23, 2020 |
| Houck, James Patrick | Buffalo | 202979-1W | April 23, 2020 |
| Hsue, Andrea Jane | Binghamton | 276260-7W | April 23, 2020 |
| Huang, Joseph Lekiong | Bronx | 109899-5W | April 23, 2020 |
| Ilyas, Laila | Dix Hills | 259262-4B | April 23, 2020 |
| Kang, Sang C. | New York | 113486-5W | April 23, 2020 |
| Kerner, Jeffrey Hunt | Stamford | 127880-3B | April 23, 2020 |
| Khera, Davender Singh | Rochester | 267884-5B | April 23, 2020 |
| Klein, Susan A. | Eden Prairie | 161283-7B | April 23, 2020 |
| Lalli, Corradino M. | Kings Park | 131117-4B | April 23, 2020 |
| Leve, Austin R. | Pittsford | 075441-6B | April 23, 2020 |
| Lewis, Matthew Craig | Plainview | C10428-3W | April 23, 2020 |
| Lokhandwala, Banu S. | Staten Island | 138932-9W | April 23, 2020 |
| Mehta, Rekha D. | New Rochelle | 128981-8W | April 23, 2020 |
| Miraloglu, Didem | Spencerport | 233008-2W | April 23, 2020 |
| Mooney, Robert O. | New York | 078155-9W | April 23, 2020 |
| Nejat, Moosa | Kings Point | 108760-0W | April 23, 2020 |
| Nullet, Francis Richard | Weaverville | 219926-3W | April 23, 2020 |
| Paris, Samuel | Liverpool | 101346-5W | April 23, 2020 |
| Pejo, Samuel P. | Binghamton | 117149-5W | April 23, 2020 |
| Riddett, Karen Alice | Provincetown | C07038-5W | April 23, 2020 |
| Selvaraj, Dhana Rekha | Fresno | 278344-7W | April 23, 2020 |
| Silver, Stephen Gregg | New York | 203522-8W | April 23, 2020 |
| Skamas, Demetrios C. | New Hartford | 095589-8W | April 23, 2020 |
| Smith, Frederick Alan | Garden City | 147698-5W | April 23, 2020 |
| Spencer, Frank Cole | New York | 095982-5W | April 23, 2020 |
| Taft, Steven D. | Poughkeepsie | 104389-2W | April 23, 2020 |
| Warren, Allan Richard | Saint James | 090594-3W | April 23, 2020 |
| Wasicek, Charles A. | Watertown | 122206-6B | April 23, 2020 |
| Weissman, Charles H. | Clifton Park | 124239-5W | April 23, 2020 |
| Werner, Murray Jon | Elmira | 134160-1W | April 23, 2020 |
| Yap, Ricardo S. | New Hyde Park | 115510-0W | April 23, 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