Subject Numbers Regarding Health Provider Authorizations
November 22, 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 |
|---|---|---|---|
| Ahuja, Ankur | Huntington | 282168-4W | September 16, 2021 |
| Ajegba, Folashade Omodele | Rocky Hill | 274344-1W | September 16, 2021 |
| Amblard, Louis Leonce | Cary | 216663-5W | September 16, 2021 |
| Armenia, Donald Joseph | Orchard Park | 142442-3W | September 16, 2021 |
| Ascioti, Samuel Wallace | Arlington | C12862-1W | September 16, 2021 |
| Austin, John Holcombe Mcculloch | New York | 116390-6W | September 16, 2021 |
| Balmir, Serge | Cedarhurst | 141579-3W | September 16, 2021 |
| Barach, Bruce Kerry | Schenectady | 174007-5B | September 16, 2021 |
| Barkowski, Nancy Ann Catherine | Schenectady | 203198-7W | September 16, 2021 |
| Barnett, Natalie Renee | New Hyde Park | 280774-1W | September 16, 2021 |
| Becker, Peter Mark | Fayetteville | 140611-5W | September 16, 2021 |
| Bichala, Shalini | Vestal | 283713-6W | September 16, 2021 |
| Blanco, Barbara Salvia | Danbury | 231477-1W | September 16, 2021 |
| Blidaru, Ioana Alexandra | Albany | PA022042-6W | September 16, 2021 |
| Bryan, Flize A. | Brooklyn | 129936-1W | September 16, 2021 |
| Burdick, Jeffrey J. | Albany | 168614-6I | September 16, 2021 |
| Burman, Leonard Judah | Canandaigua | 186519-5W | September 20, 2021 |
| Camunas, Jorge Luis | New York | 116106-6W | September 16, 2021 |
| Chacko, Riya Susan | Syracuse | 264858-2W | September 16, 2021 |
| Chagnon, Denis Ernest | Lake Placid | 116548-9W | September 16, 2021 |
| Chiu, Felicia Y. | Melville | 281149-5W | September 16, 2021 |
| Consorte, James | Huntington | S09493-8W | September 17, 2021 |
| Coughlin, Kevin Michael | Elmira | 175328-4W | September 17, 2021 |
| Daly, Robert William | Garden City | 098212-4W | September 17, 2021 |
| Dicostanzo, Vincent John | Orangeburg | C02720-3W | September 17, 2021 |
| Eisenberg, Marvin | Staten Island | C01104-1W | September 17, 2021 |
| Falkoff, Michael D. | Rochester | 126288-0W | September 17, 2021 |
| Fink, Richard Maury | Commack | C02951-4B | September 17, 2021 |
| Fradlis, Alina | Huntington Station | 289626-4W | September 17, 2021 |
| Freedman, Marsha | Bloomfield | S10907-4W | September 17, 2021 |
| Gallos, George | New York | 229500-4W | September 17, 2021 |
| Goldbetter, Victor C. | Brooklyn | 187344-7W | September 17, 2021 |
| Goldstein, Asher C. | New York | 229572-3W | September 17, 2021 |
| Goldstein, Marvin H. | New York | 083659-3W | September 17, 2021 |
| Govindaraj, Shanthi | Staten Island | 115118-2W | September 17, 2021 |
| Green, Peter Warwick Brunt | East Northport | 143157-6B | September 17, 2021 |
| Gudavalli, Prasad R. | Brooklyn | 128146-8W | September 17, 2021 |
| Guffey, Jan Marie | Dalton | C11348-2B | September 17, 2021 |
| James, David Michael | Getzville | 209033-0W | September 17, 2021 |
| Jean-Jacques, Marie Laure | Vestal | 272841-8W | September 17, 2021 |
| Joseph, Shamfa Chrystal | Cooperstown | 289815-3W | September 17, 2021 |
| Kassoff, Aaron | Albany | 097181-2B | September 17, 2021 |
| Katzman, Marvin S. | Irving | C03920-8B | September 17, 2021 |
| Kaur, Surinder | Teaneck | 138315-7W | September 17, 2021 |
| Kennedy, John Joseph | Naples | 139092-1B | September 17, 2021 |
| Kim, Martin Minwoo | Syracuse | 299039-8W | September 16, 2021 |
| Kim, Samuel | New York | 246540-9W | September 16, 2021 |
| Koreishi, Faruk M. | Buffalo | 119187-3W | September 16, 2021 |
| Kpandeyenge, Tity Mae | Buffalo | 299099-2W | September 16, 2021 |
| Levin, Michael | New York | 148299-1W | September 16, 2021 |
| Levy, Vivian Joy | Columbia | 293243-2B | September 16, 2021 |
| Lieu, Kevin H. | Fishkill | 113564-9W | September 16, 2021 |
| Ling-Chung, Edmund K. P. | Staten Island | 153451-0W | September 16, 2021 |
| Lucariello, Ralph J. | Bronx | 072852-7W | September 16, 2021 |
| Luque, Francisco Antonio | White Plains | 173558-8W | September 16, 2021 |
| Mcmath, William Thoma, III | Stony Brook | S11069-2B | September 16, 2021 |
| Meza, David Bernard Lawrence | Lyndonville | 098292-6W | September 16, 2021 |
| Miller, Ryan Christopher | Malvern | 294076-5W | September 16, 2021 |
| Misholy, Haim | Setauket | 141725-2W | September 16, 2021 |
| Narins, David Joel | White Plains | 095039-4W | September 16, 2021 |
| Ni, Kimberly | Vestal | 290771-5W | September 16, 2021 |
| Nudelman, Zhanna | Brooklyn | 225176-7W | September 16, 2021 |
| Osborn, Elizabeth | Valhalla | S08261-0B | September 16, 2021 |
| Papperman, Theodore Joseph | Seneca Falls | S09401-1B | September 16, 2021 |
| Park, Eung Whan | Rolling Hills Est | 115322-0W | September 16, 2021 |
| Patheja, Jashen Singh | Brooklyn | 299073-7W | September 16, 2021 |
| Peer, Gerald Lawrence | Amherst | 154046-7B | September 16, 2021 |
| Pepper, Bert | Sleepy Hollow | 084424-1B | September 16, 2021 |
| Pillari, Vincent T. | Bayville | 090753-5W | September 16, 2021 |
| Pimentel, Mariano Cezar, Jr. | West Nyack | 166280-8W | September 16, 2021 |
| Poveda, Jose Filiberto | Hempstead | 102453-8W | September 16, 2021 |
| Preiser, Gary | Walton | 117128-9W | September 16, 2021 |
| Principe, Salvatore Raphael | Unadilla | C04382-0B | September 16, 2021 |
| Rajpal, Sanjeev | Valley Stream | 132687-5W | September 16, 2021 |
| Raoofi, William Seyed Reza | Syracuse | 299015-8W | September 16, 2021 |
| Sarwar, Chaudhry Muhammad Shahb | Stony Brook | 280074-6W | September 16, 2021 |
| Sawhney, Ramesh Kumar | West Orange | 154748-8B | September 16, 2021 |
| Selden, Reid V. | Islandia | 136326-6W | September 16, 2021 |
| Shariat, Panahi Jaleh | Kingston | 126628-7W | September 16, 2021 |
| Shumsky, David Joshua | Montrose | S09554-7W | September 16, 2021 |
| Sileo, Anthony Vincent | Rego Park | 107335-2W | September 16, 2021 |
| Simons, Calvin J. | Brooklyn | 085285-5W | September 16, 2021 |
| Singer, Elliot Roy | Chappaqua | 098745-3W | September 16, 2021 |
| Slota, Bozena | Johnson City | 208938-1B | September 16, 2021 |
| Solomon, Seymour | Bronx | 070209-2W | September 16, 2021 |
| Stemple, Diane M. | Brooklyn | S08475-6W | September 16, 2021 |
| Sundaram, Vishalakshi | Roanoke | 263210-7W | September 17, 2021 |
| Walsky, Robert Samuel | Woodcliff | 110318-3W | September 17, 2021 |
| Wilamowski, Henry G. | Cheektowaga | 140941-6W | September 20, 2021 |
| Yocono, Mark Anthony | Albany | 189746-1W | September 17, 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