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Subject Number 046-1374 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers’ Compensation Law

Subject Numbers Regarding Health Provider Authorizations

February 17, 2021

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
Avanzato, Joseph Beacon 153825-5W December 16, 2020
Batlle, Jose Eugenio Edgewater 212090-5W December 16, 2020
Blum, Aaron M. Poughkeepsie 101721-9W December 16, 2020
Boxhorn, Christine Elizabeth Milwaukie 268698-8W December 16, 2020
Brady, David Shaun Flushing 187999-8W December 16, 2020
Breitbarth, Nancy A. Palm Beach Gardens C03167-4B December 16, 2020
Calabrese, Gerald Leonard Watertown 160226-7B December 16, 2020
Carrao, Cheryl Wafford Long Beach 200423-2W December 16, 2020
Chen, Valerie Hsinyen Slingerlands 286818-0W December 16, 2020
Copertino, Leonard Michael Utica 280094-4W December 16, 2020
Corriel, Dana Tenafly 234514-8W December 16, 2020
Dholakia, Rishi Tejas Stony Brook 295701-7W December 16, 2020
Dsilva, Peter F. Geneva 142837-4W December 16, 2020
Dulay, Samuel C. East Greenbush 115072-1W December 17, 2020
Elkind, Arthur H. New Rochelle 081025-9B December 17, 2020
Erens, Eva Barbara Forest Hills 151956-0W December 17, 2020
Fay, Colleen M. White Plains 163795-8W December 17, 2020
Fazili, Tasaduq Nazir Roanoke 261497-2W December 17, 2020
Federman, Jay S. Saranac Lake 123530-8W December 17, 2020
Ficara, Brooke New York PT039047-6W December 17, 2020
Fischer, Richard Joseph West Seneca 112937-8W December 17, 2020
Golyan, Bijan Great Neck 197297-5W December 17, 2020
Greenberg, Judith J. Cooperstown 158279-0W December 17, 2020
Gruet, Larry Robert Albany 127979-3W December 17, 2020
Gullo, John Joseph East Syracuse 137981-1B December 17, 2020
Guthrie, Randolph Hobson Palm Beach 090152-0W December 17, 2020
Haidar, Aqeel Blue Bell 216027-3W December 17, 2020
Halpern, Irwin Merrick C00145-5W December 17, 2020
Harrington, Timothy Francis Williamsville 106376-7W December 17, 2020
Heitner, Holden David Tampa 296957-4W December 17, 2020
Holm, Andersen Ingolf Glen Head 108069-6W December 17, 2020
Jha, Romen Kumar Chandler 202992-4W December 17, 2020
Kirschenbaum, Emily Rikoon Scarsdale 166570-2W December 17, 2020
Kogan, Yelena Aleksandrovna Hudson 271703-1W December 17, 2020
Lao, Henry S. Brooklyn 120158-1W December 17, 2020
Levin, Lewis Martin Glen Cove 113012-9B December 17, 2020
Liebling, Anne Rhinebeck 191581-8I December 17, 2020
Lor, Sonia Margaretville C05617-8W December 16, 2020
Marthy-Noonan, Anne K. Gansevoort 167525-5W December 16, 2020
Mcdermott, Meredith Robyn New York 279122-6W December 16, 2020
Moy, Gregory Long Island City PT041884-8W December 16, 2020
Mudge, Peter Bryan Lloyd Harbor 097663-9W December 16, 2020
Nolan, Gerald M. Farmington 134773-1W December 16, 2020
Nugget, Ronald M. Centereach C01806-1B December 16, 2020
Olson, Kevin Francis Kings Park 139236-4W December 16, 2020
Palmer, Robert J. Bayside C03759-0W December 16, 2020
Panebianco, Richard J. Southampton 124451-6W December 16, 2020
Pascual, Monique Brentwood C06232-5W December 16, 2020
Pogrebinsky, Grigory S. Brooklyn 159537-0W December 16, 2020
Polatsch, Bernard Bethpage 091685-8W December 16, 2020
Poliner, Jay Ronald West Hartford 174348-3W December 16, 2020
Pulling, Robert R. Ballston Spa 160138-4W December 16, 2020
Ratner, Sabina Stony Brook 295357-8W December 16, 2020
Raynor, Richard B. New York 078181-5B December 16, 2020
Rios, Angel Delmar 176730-0W December 16, 2020
Rohani, Sayed Mojtaba Bronx 295638-1W December 16, 2020
Roman, Angelie De Jesus Auburn 215535-6B December 16, 2020
Rudorfer, Alvin Floral Park 089471-7W December 17, 2020
Sane, Paul Bronx 102467-8W December 17, 2020
Savel, Thomas George Atlanta 221041-7W December 17, 2020
Saxena, Rajiv Lloyd Harbor 142082-7W December 17, 2020
Schimler, Michael Edward Essex Falls 270658-8W December 17, 2020
Schotanus, Peter R. Binghamton 133715-3W December 17, 2020
Schwager, Scott Phoenix C05001-5B December 17, 2020
Shalhoub, Edward Henry Sea Girt 091633-8W December 17, 2020
Shemmeri, Nida Boylston 251862-9B December 17, 2020
Sheth, Viral Ras Middletown 198845-0W December 18, 2020
Siebuhr, Karl Frank Cooperstown 254096-1W December 18, 2020
Singer, Morton Merrick 070064-1W December 18, 2020
Song, Gi Suk Kingston 170312-3W December 18, 2020
Tankel, Robert H. Flushing 104657-2W December 18, 2020
Vaca, Miller Corona 110265-6W December 18, 2020
Walwyn, Sherri Melissa Long Island City PT042224-6W December 18, 2020
Warner, Robert A. Tigard 107000-2W December 18, 2020
Zarrabi, Kevin Kayvan Stony Brook 295894-0W December 18, 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