Subject Numbers Regarding Health Provider Authorizations
May 17, 2022
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 |
|---|---|---|---|
| Adams, Steven L. | East Syracuse | S11269-8W | March 22, 2022 |
| Afshani, Ehsan | Bonita Springs | 110393-6W | March 22, 2022 |
| Aicardi, Gina | Jersey City | PT043973-7W | March 22, 2022 |
| Amini, Manouchehr | Roslyn | 114689-3B | March 22, 2022 |
| Arnold, Richard Russell | Evergreen | S03954-5W | March 22, 2022 |
| Axt, Steven B. | Patchogue | P03178-2B | March 22, 2022 |
| Baillargeon, Neal Arthur | Philmont | 161495-7W | March 22, 2022 |
| Bakston, George A. | Melville | 150187-3W | March 22, 2022 |
| Bernstein, Michael L. | Carmel | 122662-0B | March 22, 2022 |
| Bevier, Becki L. | Weedsport | PA017035-7B | March 22, 2022 |
| Biller, Bob S. | Land O Lakes | P02835-8B | March 22, 2022 |
| Boman Thomas Edward | Weems | 185786-1W | March 22, 2022 |
| Borra, Sonia Iclea | Pittsburgh | 111163-2W | March 22, 2022 |
| Brett, Stanley Robert | Brightwaters | S03118-7W | March 22, 2022 |
| Burger, Andrew Alan | New York | 109083-6W | March 22, 2022 |
| Burns, Elisa E. | Mount Kisco | 154903-9W | March 22, 2022 |
| Butensky, Marlene Cheryl | Amherst | S07897-2W | March 22, 2022 |
| Campbell, Andray Ainsworth | Brooklyn | PT043956-2W | March 22, 2022 |
| Chamson, Sandra Potkorony | New York | S09105-8W | March 22, 2022 |
| Chen, Edward | Melville | 256103-3W | March 22, 2022 |
| Cohen, Martin B. | Valhalla | 148885-7W | March 22, 2022 |
| Colabella, Anthony Daniel | Stamford | PT043987-7W | March 22, 2022 |
| Cruz-Menoyo, Priscilla Marie | Tampa | 292679-8W | March 22, 2022 |
| Cudahy, Richard Purcell | Little Genesee | 141445-7W | March 22, 2022 |
| Dale, Priscilla Kathleen | Springville | 194016-2W | March 22, 2022 |
| Davidson, Emily Ann | Rochester | PT043881-2W | March 22, 2022 |
| Dematteo, Anthony A. | Queensbury | PT005650-7W | March 22, 2022 |
| Di Giovanna, Eileen Landenberge | Smithtown | 083191-7W | March 22, 2022 |
| Dib, Zulfikar Hassan | New York | C09280-1B | March 22, 2022 |
| Dormevil, Raymond | Brooklyn | 294631-7W | March 22, 2022 |
| Dubensky, Tracey Kim | Allentown | PT037006-4W | March 22, 2022 |
| Dudek, Gary Louis | Honeoye Falls | 177167-4W | March 22, 2022 |
| Efthimiou Elizabeth Maria | Cape Coral | 216577-7W | March 22, 2022 |
| Feder, Jay Mitchell | Gainesville | 233752-5W | March 22, 2022 |
| Fox, Roberta | Guilford | P04834-9W | March 22, 2022 |
| Frank, Mark | Somerville | S05950-1B | March 22, 2022 |
| Gajapathy, Murugesu | Paramus | 137347-1W | March 22, 2022 |
| Garelick, Marvin S. | Fort Lee | 091906-8B | March 22, 2022 |
| Garnett, Richard D. | Clifton Park | S05312-4W | March 22, 2022 |
| Gilbert, Pamela Dawn | Norwich | N550087-1W | March 22, 2022 |
| Gilman, Steven B. | Westchester | 295156-4B | March 22, 2022 |
| Girardi, Michele | Melville | 188171-3W | March 22, 2022 |
| Goldenberg, Melvyn S. | New York | P02161-9W | March 22, 2022 |
| Havner, Dean Eric | Poughkeepsie | PT018585-0W | March 22, 2022 |
| Herd, David A. | Geneva | C02460-6B | March 22, 2022 |
| Hito, Hassan | West Islip | 135520-5W | March 22, 2022 |
| Hogan, James Francis | Binghamton | P02430-8B | March 22, 2022 |
| Hudes, Eliot S. | Wappingers Falls | C01920-0B | March 22, 2022 |
| Hutter, Randolph | Cooperstown | 260186-2W | March 22, 2022 |
| Isseks, Theodore N. | Rock Hill | 117110-7W | March 22, 2022 |
| Jensen, Mark Robert | Rochester | 276356-3W | March 22, 2022 |
| Kansagra, Nina Marie | New York | PT043708-7W | March 22, 2022 |
| Kates, Jonathan Louis | Dover | 302805-7I | March 22, 2022 |
| Kelly, Russell Stephen | Honolulu | 160060-0W | March 22, 2022 |
| Khambatta, Hoshang Jal | Engelwood | 107289-1W | March 21, 2022 |
| Khulpateea, Neekianund | Malverne | 131509-2W | March 21, 2022 |
| Kieran, Owen P. | New York | 132067-0W | March 21, 2022 |
| Krauss, Leo | Woodbury | 075331-9W | March 21, 2022 |
| Kruger, Paul S. | Hamilton | 117005-9W | March 21, 2022 |
| Lints, Sherry Anne | Rome | C09244-7W | March 22, 2022 |
| Lipson, Robert A. | East Falmouth | 131128-1W | March 21, 2022 |
| Lubicz, Stephanie | Riverdale | 139630-8W | March 23, 2022 |
| Magoolaghan, Anne Keeler | New York | PT037162-5W | March 21, 2022 |
| Maher, John Michael | Eden Prairie | 157061-3W | March 21, 2022 |
| Mascioli, Anthony H. | Newark | P02308-6B | March 21, 2022 |
| Master, Mumtaz Kaizer | Nanuet | 159742-6W | March 21, 2022 |
| McDermott, Rebecca Carol | Christianberg | S21940-2W | March 21, 2022 |
| McElligott, Thomas John, Jr. | Miami Lake | 138557-4W | March 21, 2022 |
| McNeal, Marisa | Binghamton | 272423-5W | March 21, 2022 |
| Mednick, Adam Seth | Fort Meyers | 187059-1B | March 21, 2022 |
| Megarr, John Charles, III | Bronx | 186735-7B | March 21, 2022 |
| Menendez, Desi M. | Smithtown | C06087-3B | March 21, 2022 |
| Miceli, Nicholas | Patchogue | C03364-9W | March 21, 2022 |
| Mishkit, Alison Dee | Huntington | 181617-2W | March 21, 2022 |
| Molnar, Rene | Hampton Bays | 250712-7B | March 22, 2022 |
| Murphy, Colleen Marie | Port Jefferson Station | PT040980-5W | March 22, 2022 |
| Naik, Ramesh Sidda | Scarsdale | 174770-8W | March 22, 2022 |
| Nguyen, David Huong | Santa Ana | 292900-8B | March 22, 2022 |
| Ogiste, Jason Stephen | New York | 242427-3W | March 22, 2022 |
| O'Leary, John M. | New Rochelle | 084846-5W | March 22, 2022 |
| Perfetti, Claire M. | Plainview | PT043904-2W | March 22, 2022 |
| Poster, Robert Brian | Ballston Spa | 156854-2W | March 22, 2022 |
| Rivera, Hector Anibal | Bronx | S10436-4B | March 22, 2022 |
| Rivieccio, Joseph | Brooklyn | PT040735-3W | March 22, 2022 |
| Romeo, Anthony Albert | Harrison | 294351-2B | March 22, 2022 |
| Sande, Hervey Allen | Brooklyn | P02169-2W | March 22, 2022 |
| Saretsky, Theodore | Atlantic Beach | S03087-4W | March 22, 2022 |
| Schwartz, Alan Gelber | Southbury | 082868-1W | March 22, 2022 |
| Schwartz, Leonard Jules | Brightwaters | S01907-5B | March 22, 2022 |
| Scott, Richard L. | Pittsford | P02986-9B | March 22, 2022 |
| Shah, Vijaykumar Ratilal | Glenhead | 185592-2W | March 22, 2022 |
| Shery, Steven Barry | Oceanport | 182235-2W | March 23, 2022 |
| Siciliano, Michael Anthony | Lakewood | 266364-9W | March 22, 2022 |
| Silverberg, Gary A. | Levittown | C03018-1W | March 22, 2022 |
| Singer, Gordon Mark | Encino | 268834-9B | March 22, 2022 |
| Sinha, Lalendra K. | Far Rockaway | 108268-4W | March 22, 2022 |
| Stanca, Carmen Magdalena | Plano | 259189-9W | March 22, 2022 |
| Sutaria, Pragna B. | Mclean | 149275-0W | March 22, 2022 |
| Toman, Mark Boris | Brooklyn | 167820-0W | March 22, 2022 |
| Traykovski, Alexander | New York | 093363-0B | March 22, 2022 |
| Troutner, Alyssa Morgan | Sherman | C13219-3B | March 22, 2022 |
| Tuckman, Monte Mark | Purchase | P02475-3B | March 22, 2022 |
| Unger, Benjamin Daniel | Watertown | 239359-3W | March 22, 2022 |
| Verma, Shalini | New Hyde Park | PT043828-3W | March 22, 2022 |
| Viglietta, Martha Booth | Manlius | S08485-5W | March 22, 2022 |
| Weissman, Allan M. | Passaic | 194536-9W | March 22, 2022 |
| Wung, Jen Tien | Engelwood Cliffs | 111954-4I | March 22, 2022 |
| Yanchus, Stephen L. | Owego | PT043850-7W | March 22, 2022 |
| Zakariyya, Hasan | Fulton | 152899-1W | March 22, 2022 |
*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