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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. 046-1317

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

Date: August 3, 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
Abraham, Jacob Cherutharayil Norcross 240241-0W May 14, 2020
Argentieri, Mario Angelo Hornell 047589-7W May 14, 2020
Basileo, Santo Corona 184113-9W May 14, 2020
Battaglia, Michele Nokomis C12051-1W May 14, 2020
Bibi, Robert R. Modena 140790-7B May 14, 2020
Bowman, Kimberly Cherise San Francisco 277981-7B May 14, 2020
Brown, Kristy M. Depew C11553-7B May 14, 2020
Chowdhury, Waled H. Jericho 126227-8W May 14, 2020
Colombo, Caryn Joan New Rochelle 205124-1W May 14, 2020
Davila-Rivera, Alfredo St. Petersburg 247818-8W May 14, 2020
Desai Girish Nanubhai Valley Stream 166869-8W May 14, 2020
Dipietro, Joseph A. Bronxville 120656-4W May 14, 2020
Dolin, Bernard White Plains 078384-5B May 14, 2020
Draves, Kathryn Ann Woodbury 166671-8W May 14, 2020
Fayda, Yury Washington 172367-5W May 14, 2020
Gilbert, Kimberly Syracuse 264717-0W May 14, 2020
Golub, Stephen Port Jefferson 142187-4W May 14, 2020
Gordon, Beverly Wellington C02785-6W May 14, 2020
Green, Rupert Nathaniel Yonkers 046744-9W May 14, 2020
Gupta, Neha Cobleskill 276105-4W May 14, 2020
Hannan, David Thomas Marion 156845-0W May 14, 2020
Herbert, Steven George Webster 135540-3B May 14, 2020
Hernandez, Cristina Tate Stony Brook 283421-6W May 14, 2020
Hirose, Teruo Bronx 094244-1W May 14, 2020
Inaganti, Venkateswara Rao Tavares 170115-0W May 14, 2020
Jimenez, Rueda Carlos Alberto Webster 093236-8W May 14, 2020
Kang, Baik Hyun Kings Point 113483-2W May 14, 2020
Kessler, Joseph North Tarrytown 090661-0W May 14, 2020
Khan, Faiz Ullah Bath 114805-5W May 14, 2020
Khanuja, Ajit K. Troy 115191-9W May 14, 2020
Kreienberg, Suzanne Elizabeth Delmar 198409-5W May 14, 2020
Kremen, Oran James Ali Melville 283565-0W May 14, 2020
Latino, Ronald J. South Salem C02523-1W May 14, 2020
Laughlin, Lance J. Tampa C03228-6W May 14, 2020
Lee, Tae Young Albany 273575-1W May 14, 2020
Leka, Agim New York 083060-4W May 14, 2020
Lepore, Domenick V. Brooklyn 082165-2W May 14, 2020
Losito, Francis Charles Manhasset 094832-3W May 14, 2020
Maduram, David Thomas Purchase 275558-5W May 14, 2020
Masone, James Vincent Miller Place C08311-5B May 14, 2020
Mathews, John Francis Athens 184057-8W May 14, 2020
McVey, Brian Joseph Elmira 160792-8W May 14, 2020
Mollura, Joseph L. Great Neck 086666-5W May 14, 2020
Mulligan, Thomas Bellerose PT016222-2W May 14, 2020
Oh, Chong Keo Scarsdale 227715-0W May 14, 2020
Patel, Rohit Goshen 111691-2W May 14, 2020
Perotto, Aldo Oscar East Hampton 098307-2W May 14, 2020
Podell, David L. Fort Lauderdale 086959-4W May 14, 2020
Rao, Nagaveni Yonkers 141334-3W May 14, 2020
Richman, Ronald New York 083120-6B May 14, 2020
Rothstein, Daniel Millburn 274814-3B May 14, 2020
Sacolick, Benzion Brooklyn 153532-7W May 14, 2020
Sandhu, Jujhar Kaur Malone 273500-9W May 14, 2020
Schachner, Sandy Michael Belle Terre 141400-2W May 14, 2020
Schick, David Boynton Beach 099323-8W May 14, 2020
Schwartz, Julian West Palm Beach 097590-4W May 14, 2020
Sherwood, Donald Thomas Walton 109197-4W May 14, 2020
Silva, Gerard Lloyd Harbor 243193-0W May 14, 2020
Thurston, Denise Marie Tonawanda C10400-2B May 14, 2020
Tun, Than Staten Island 150194-9W May 14, 2020
Volozin, Felix Z. Scarsdale 179277-9W May 14, 2020
Whalen, Timothy Earl Chandler 212151-5W May 14, 2020
Yaukoolbodi, Samret Amherst 137351-3W May 14, 2020
Zimmerman, Marc S. Pomona 134846-5W May 14, 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