Subject Numbers Regarding Health Provider Authorizations
August 10, 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 |
|---|---|---|---|
| Alexander, John A. | Hopewell Junction | C05929-7B | June 30, 2021 |
| Alzheimer, Daniel Robert | Lewiston | 297596-9B | June 30, 2021 |
| Anderson, John Marshall | Morristown | 207159-5W | June 30, 2021 |
| Aye, Than Than | Staten Island | 151420-7W | June 30, 2021 |
| Barthauer, Linda | Pittsford | 215272-6W | June 30, 2021 |
| Bensky, Scott Erik | Ramsey | C09704-0W | June 30, 2021 |
| Berlow, Michael Elliot | Lakewood Ranch | 136656-6W | June 30, 2021 |
| Bhatia, Shamsunder Doulatram | Staten Island | 107241-2W | June 30, 2021 |
| Birnbaum, Israel N. | Melville | S05888-3W | June 30, 2021 |
| Branigan, Thomas Sidney | Williamsville | 097648-0W | June 30, 2021 |
| Brown, Matthew Scott | Glens Falls | N534579-8W | June 30, 2021 |
| Bruhn, Donald Frederick | Fort Meyers | 082082-9B | June 7, 2021 |
| Bylebyl, Joseph Karol | Ithaca | 145316-6W | June 30, 2021 |
| Castellano, Charles Christopher | Westfield | 232228-7W | June 7, 2021 |
| Castleman, James F. | Delmar | 090529-9W | June 30, 2021 |
| Corlito, Janette M. | Brightwaters | C02085-1W | June 7, 2021 |
| Davis, Adam Jeffrey | Brentwood | 176362-2W | June 7, 2021 |
| Davis, Richard Gary | Huntington | 170977-3B | June 30, 2021 |
| Derosas, Juan Facundo | Lockport | 117428-3W | June 30, 2021 |
| Dewey, John | Cooperstown | 200078-4W | June 7, 2021 |
| Dimitrov, Nadya E. | Smithtown | P04243-3W | June 7, 2021 |
| Dischiavo, Daniel Arthur | New Hartford | C05947-9B | June 30, 2021 |
| Dsouza, Yvonne | Hartsdale | 140478-9W | June 30, 2021 |
| Edmonston, James Huyette | Wellsville | 187816-4W | June 30, 2021 |
| Eraso, Daniel Ruben | Jacksonville | 288550-7W | June 7, 2021 |
| Federman, Dorothy S. | Saranac Lake | 123529-0W | June 30, 2021 |
| Fischer, Eva | Suffern | 173175-1W | June 30, 2021 |
| Ganesh, Kalyani | Syracuse | 154862-7W | June 30, 2021 |
| Gauger, Barbara Jeanne | Williamsville | 162651-4W | June 30, 2021 |
| Geer, Deborah Ann | Auburn | 238625-8B | June 7, 2021 |
| Geoghean, Richard Matthew | Wappingers Falls | C03190-8B | June 30, 2021 |
| Gibson, Mark Douglas | Elmira | 145863-7W | June 30, 2021 |
| Gold, Alan H. | Boca Raton | 112760-4W | June 7, 2021 |
| Golub, Steven Allen | Boynton Beach | 151991-7B | June 30, 2021 |
| Gowan, Ivan Darius | Amelia Island | 153105-2W | June 7, 2021 |
| Graver, L. Michael | New Hyde Park | 136870-3W | June 30, 2021 |
| Greany, Michael Philip | Spring Valley | C05515-4B | June 30, 2021 |
| Gundy, Edward V. | Purchase | 131888-0W | June 30, 2021 |
| Hannafin, Jo A. | New York | 172771-8W | June 7, 2021 |
| Hart, Shern | Trumansburg | 124668-5W | June 7, 2021 |
| Heelan, Robert Terence | Brooklyn | 112053-4W | June 30, 2021 |
| Hon, John Wingsun | Brooklyn | 142973-7W | June 1, 2021 |
| Isaacson, Steven R. | Tenafly | 161304-1W | June 7, 2021 |
| Kahn, Evelina Lucia | Melville | 160053-6W | June 30, 2021 |
| Kane, Michael Robert | Poughkeepsie | 230490-5B | June 30, 2021 |
| Khalsa, Kunwar Singh | Albany | 283222-8W | June 30, 2021 |
| King, Richard W. | Valley Cottage | 130834-5W | June 30, 2021 |
| Kneib, Jonathan Boyd | Stony Brook | 289098-6W | June 30, 2021 |
| Koser, Mark William | Staten Island | 169168-2W | June 30, 2021 |
| Levine, Allwyn Joseph | New York | 263078-8B | June 30, 2021 |
| Lofaso, Liliana | Cayuga | 154077-2W | June 30, 2021 |
| Madden, Michael Mc Keon | Buffalo | 093846-4W | June 30, 2021 |
| Maharam, Lewis G. | New York | 169187-2W | June 30, 2021 |
| McCall, Charles Louis | Jackson | 297548-0W | June 30, 2021 |
| McHugh, Ellen Margaret | Horsehead | 165834-3W | June 7, 2021 |
| Minzer, Leonard | Rockaway Park | 085492-7W | June 30, 2021 |
| Negron, David Eric Diaz | Norwell | P05160-8W | June 7, 2021 |
| Nichols, Norman Joseph | Walnut Creek | 076612-1W | June 7, 2021 |
| Oh, Chung Hyun | Auburn | 111469-3W | June 30, 2021 |
| Parnell, John Vincent | Bay Shore | 215008-4W | June 30, 2021 |
| Patel, Sureshchandra S. | Staten Island | 117760-9W | June 7, 2021 |
| Paulus, Peter | Batavia | 206223-0W | June 30, 2021 |
| Peters, Nicholas Salvador | New Hartford | 153507-9W | June 30, 2021 |
| Priebe, Cedric J., Jr. | Stony Brook | 080836-0B | June 30, 2021 |
| Prufer, Steven William | Forest Hills | 118302-9W | June 7, 2021 |
| Rand, Stephen P. | Cedarhurst | 114186-0B | June 7, 2021 |
| Raudenbush, Brandon Leroy | Novelty | 272940-8W | June 30, 2021 |
| Rizzuti, Raymond A. | Brooklyn | 122473-2W | June 30, 2021 |
| Roemmelt, Arthur | Camillus | 106809-7W | June 30, 2021 |
| Roofeh, Jahanshah | New Hyde Park | 144347-2B | June 30, 2021 |
| Roth, David Mark | Guttenberg | 159063-7W | June 7, 2021 |
| Sanfilippo, Robert John | Chappaqua | C08696-9W | June 30, 2021 |
| Shephard, Virginia Theresa | Hornell | 169884-4W | June 30, 2021 |
| Siddique, Qazi Asif | Williston Park | 262133-2W | June 30, 2021 |
| Simon, Sheldon | Brooklyn | 105210-9W | June 7, 2021 |
| Smith, Annette Marie | Binghamton | 218971-0W | June 30, 2021 |
| Smith, Roy Anthony | Syracuse | 138636-6W | June 30, 2021 |
| Sung, Janet Hyunsook | Williamsville | 126004-1W | June 30, 2021 |
| Taylor, Philip Grant | Brooklyn | 095198-8I | June 30, 2021 |
| Tumarkin, Freya | Rockville Centre | S06619-1W | June 7, 2021 |
| Vaidya, Dipak Natverlal | North Brunswick | 185724-2W | June 7, 2021 |
| Welch, Michael C. | Schenectady | 131244-6W | June 30, 2021 |
| Welles, Linda Bentz | Rochester | 244687-0W | June 30, 2021 |
| Wolf, Aharon A. | Pompano Beach | 262821-2W | June 1, 2021 |
| Wyluda, Edward John | East Syracuse | 289014-3W | June 30, 2021 |
| Zelanka, Kerry | Hewlett | C02701-3B | June 7, 2021 |
| Zickel, Robert E. | Dover Plains | 086463-7B | June 30, 2021 |
| Zimmerman, Robert David | New York | 118156-9W | June 30, 2021 |
*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