Subject Numbers Regarding Health Provider Authorizations
September 1, 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 |
|---|---|---|---|
| Alacha, Nabil | Staten Island | 197160-5W | June 10, 2020 |
| Baquero, Javier | Manhasset | 103619-3W | June 11, 2020 |
| Barodawala, Farida | Williamsville | 125970-4W | June 11, 2020 |
| Barshay, Oleg | Brooklyn | C07419-7B | June 11, 2020 |
| Benton, Louis J., Jr. | Latham | 103551-8B | June 11, 2020 |
| Blum, Richard Steven | Glen Cove | 092198-1W | June 11, 2020 |
| Bock, George Herbert | Long Island | 185051-0W | June 11, 2020 |
| Brereton, John R. | Newport | 131008-5W | June 11, 2020 |
| Brodman, Richard F. | Mount Desert | 124991-1W | June 11, 2020 |
| Cala, Noriega Jose Antonio | Houston | 275168-3W | June 11, 2020 |
| Caputo, Salvatore Frank | Plainview | C02838-3W | June 11, 2020 |
| Cardoso, Norbert Joe | East Amherst | 251785-2W | June 11, 2020 |
| Caveda, Otto E. | Bronx | 096110-2W | June 11, 2020 |
| Caviness, Craig Thomas | Dix Hills | C10557-9B | June 11, 2020 |
| Chen, Hua Chin | Brooklyn | 097449-3W | June 11, 2020 |
| Chiappetta, Donald Anthony | West Babylon | C08458-4W | June 11, 2020 |
| Chikoti, Shailaja | Cooperstown | 266303-7W | June 11, 2020 |
| Colucci, Alphonso Peter | Millbrook | C12566-8W | June 11, 2020 |
| Cuthbert, David Anthony | Jamestown | 266407-6W | June 11, 2020 |
| David, Oliver J. | Ossining | 090920-0W | June 11, 2020 |
| Dever, David Paul | Las Cruces | 146560-8B | June 11, 2020 |
| Flores, Ofelia R. | Hartsdale | 107550-6W | June 11, 2020 |
| Green, Richard Michael | New York | 108803-8W | June 11, 2020 |
| Greenberg, Gary Lee | Dix Hills | C03474-6W | June 11, 2020 |
| Groff, Gerald D. | Cooperstown | 135606-2W | June 11, 2020 |
| Holsaeter, Thomas Michael | Johnson City | 283790-4W | June 11, 2020 |
| Hussain, Anwar Ahmed | Fremont | 249566-1W | June 11, 2020 |
| Iorio, Richard | New York | 185642-6W | June 11, 2020 |
| Jones, Lee Andrews | Fayetteville | 172379-0W | June 11, 2020 |
| Keno, Deborah Denise | East Orange | 143721-9W | June 11, 2020 |
| Kim, Soo Yeon | New York | 265871-4B | June 11, 2020 |
| Kim, Wan C. | Oceanside | 135349-9W | June 11, 2020 |
| Lakritz, Alan Jay | New York | C06906-4W | June 11, 2020 |
| Levine, Morton W. | Brooklyn | 087365-3W | June 11, 2020 |
| McCall, David Scott | Massena | 205755-2W | June 11, 2020 |
| Meltzer, Francis Joseph | New York | 093998-3W | June 11, 2020 |
| Miller, Robert S. | Stony Brook | 287688-6W | June 11, 2020 |
| Mongia, Satish K. | Jamestown | 123791-6W | June 11, 2020 |
| Moxley, Richard T., 3D | Cockeysville | 120854-5W | June 11, 2020 |
| Nicholson, Nancy Lennox | Latham | S12019-6B | June 12, 2020 |
| Ong, Eric Seen Han | Cooperstown | 292432-2W | June 12, 2020 |
| Orron, Abraham | Bronxville | 083823-5W | June 12, 2020 |
| Parnes, Leo | Brooklyn | 105517-7B | June 12, 2020 |
| Potluri, Sudhir Choudary | Clinton | 185337-3W | June 12, 2020 |
| Presberg, Saul Lloyd | Rochester | 090588-5W | June 12, 2020 |
| Pujji, Anjoulie | Rochester | 286329-8W | June 12, 2020 |
| Quirk, J. Gerald, Jr. | Little Rock | 124654-5B | June 12, 2020 |
| Richard, Jack | New York | 076226-0W | June 12, 2020 |
| Roessler, Alan B. | Burdett | 130308-0W | June 12, 2020 |
| Schenker, Howard I. | Rochester | 129161-6B | June 12, 2020 |
| Schick, Robert | Hauppauge | 074877-2W | June 12, 2020 |
| Slippen, Michael | Elmwood | 110058-5B | June 12, 2020 |
| Stringfellow, Charles Andre | Southold | 092976-0W | June 12, 2020 |
| Sturm, Walter H. | Lake Worth | 144461-1W | June 12, 2020 |
| Subin, Diane Cusumano | Pinehurst | 155145-6W | June 12, 2020 |
| Sunenblick, Robert E. | Champlain | 141901-9W | June 12, 2020 |
| Surapaneni, Rajani Kanth | Houston | 125115-6B | June 12, 2020 |
| Swapceinski, Patricia Anne | Bergen | C08421-2W | June 12, 2020 |
| Swick, Todd J. | Houston | 125775-7W | June 12, 2020 |
| Taheri, Hamed | Temecula | 274616-2B | June 12, 2020 |
| Tovar, Winfred Scilla | Brooklyn | 241588-3W | June 12, 2020 |
| Tsatskis, Boris | Brooklyn | 150858-9W | June 12, 2020 |
| Vick, Dana James | Englewood | 228315-8W | June 12, 2020 |
| Waters, Michael Keith | Watertown | 190029-9W | June 12, 2020 |
| Weir, Edward H. | W. Islip | C03777-2W | June 12, 2020 |
| Williams, Robert Walter | Orchard Park | 166690-8B | June 12, 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