Subject Numbers Regarding Health Provider Authorizations
October 27, 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, Harold Van Laer, Jr. | Galway | 136049-4W | August 11, 2022 |
| Adelman, Robert Steven | Boynton Beach | P02651-9W | August 11, 2022 |
| Anderson, Laurie Michelle | Vero Beach | 306695-8W | August 11, 2022 |
| Annabel, Spencer P. | Hornell | 120290-2W | August 11, 2022 |
| Aquino, Michael D. | Tonawanda | P03386-1B | August 11, 2022 |
| Arena, Luigi | Pelham | 174471-3W | August 11, 2022 |
| Bae, Jung Rim | Palisades Park | AC005943-6W | August 11, 2022 |
| Beetlestone, Claire A. | Philadelphia | 139839-5W | August 11, 2022 |
| Ber, Leon | Williamsville | P03066-9W | August 11, 2022 |
| Beyzman, Andrew | Harveys Lake | 222087-9W | August 11, 2022 |
| Boal, Bernard Harvey | Great Neck | 097346-1W | August 11, 2022 |
| Bouchard, Chad Phillip | Slingerlands | 293837-1W | August 11, 2022 |
| Brooks, Richard B. | Schenectady | 133021-6B | August 11, 2022 |
| Buchbinder, Shalom Stanley | Teaneck | 158101-6W | August 11, 2022 |
| Burstein, Stephen David | Roslyn | 085302-8B | August 11, 2022 |
| Campbell, Sean Thomas | New York | 304219-9W | August 11, 2022 |
| Carroll, Michael P. | Massapequa | 133314-5W | August 11, 2022 |
| Chang, Kit Laura Annelise | Albany | 267591-6W | August 11, 2022 |
| Chauhdry, Mohammed Akram | Horseheads | 113338-8W | August 11, 2022 |
| Cunningham, Susan Lynn | Levittown | C07253-0W | August 11, 2022 |
| Dan, Sol J. | Brooklyn | 132576-0W | August 11, 2022 |
| Dingman, William Hanley | Watertown | C02721-1B | August 11, 2022 |
| Dionne, Pierre Eugene | Olean | 174130-5W | August 11, 2022 |
| Docimo, Salvatore, Jr. | Stony Brook | 285923-9W | August 11, 2022 |
| Donnelly, Annette T. | Little Neck | C03873-9W | August 11, 2022 |
| Drexler, Ellen Diane | Brooklyn | 138453-6B | August 11, 2022 |
| Elefant, Ronen | West Hartford | 277959-3W | August 11, 2022 |
| Elias, Mark Hans | San Francisco | 081605-8W | August 11, 2022 |
| Epstein, Susan Lynn | Brooklyn | C04699-7W | August 11, 2022 |
| Fam, Mourad Sourial | Brooklyn | 205653-9W | August 11, 2022 |
| Fisher, Robert Louis | Mt. Kisco | 225477-9W | August 11, 2022 |
| Friedman, Eli A. | Brooklyn | 080904-6W | August 11, 2022 |
| Gallagher, Susan J. | Amherst | 159666-7W | August 11, 2022 |
| Gashinskaya, Aleksandra | Brooklyn | 225779-8W | August 11, 2022 |
| Ghent, Garrett | Stony Brook | 304527-5W | August 11, 2022 |
| Giammarino, Philip A. | Oceanside | P02850-7W | August 11, 2022 |
| Goldman, Deberah Sue | New York | S08577-9B | August 11, 2022 |
| Gonzalez, Eulogio | Montvale | 176363-0W | August 11, 2022 |
| Guenthart, Andrew Diamond | Stony Brook | 304559-8B | August 11, 2022 |
| Gundappu, Reddy Prabhakar Reddy | Macungie | 304098-7B | August 11, 2022 |
| Hanjan, Tara | Palm Desert | 227925-5I | August 11, 2022 |
| Herrera-Paz, Edmundo Horacio | New York | 145740-7W | August 11, 2022 |
| Jacobs, Louis William | Bronx | P02380-5W | August 11, 2022 |
| Jiang, Qi | Holmdel | 214801-3W | August 11, 2022 |
| Jones, Bryan Paul | Pasadena | 288979-8W | August 11, 2022 |
| Justis, Gina Brigitte | Chuluota | 253368-5B | August 11, 2022 |
| Kampfer, Patricia | Amityville | C04943-9W | August 11, 2022 |
| Kaplan, Cynthia Gordon | Stony Brook | 135663-3W | August 11, 2022 |
| Kapur, Bal Krishna | Williamsville | 110550-1W | August 11, 2022 |
| Keilson, Joel C. | Hewlett | P02610-5W | August 11, 2022 |
| Kent, Warren L. | Port Jefferson Station | P03191-5W | August 11, 2022 |
| Kim, Yongjung | Closter | 250465-2W | August 11, 2022 |
| Kishkareva, Natalya | Norwood | 218070-1B | August 11, 2022 |
| Koch, Christine F. | New York | C07219-1W | August 11, 2022 |
| Kuehnel, Robert H. | La Fayette | S10209-5W | August 11, 2022 |
| Kurucz, Stefan | Pearl River | 128630-1W | August 11, 2022 |
| Kushner, Hillary | Roslyn | 154237-2B | August 11, 2022 |
| Labonte, Judy Martin | Gabriels | N765900-3W | August 11, 2022 |
| Levine, Sheldon Elliot | Woodcliffe Lake | 176154-3W | August 11, 2022 |
| Mang, George Nie-Ling | Flushing | 188903-9W | August 11, 2022 |
| Marafino, Susan Elizabeth | Hamilton | C08099-6W | August 11, 2022 |
| Markowitz, Lee | Carmel | P03951-2W | August 11, 2022 |
| Meagher, Brian Declan | Jamestown | 199207-2W | August 11, 2022 |
| Mena, Jorge Eduardo | West Hempstead | C07356-1W | August 11, 2022 |
| Meyer, Joy Marie Leuchten | Voorheesville | 183252-6W | August 11, 2022 |
| Middeldorf, Jeffrey Edwin | Troy | 223884-8I | August 11, 2022 |
| Minge, M. Ronald | Wallkill | S04073-3W | August 11, 2022 |
| Mintz, Edward Lester | Silver Spring | P04263-1W | August 11, 2022 |
| Monaghan, Constance M. | Leland | PT009334-5W | August 11, 2022 |
| Morduchowitz, Stuart M. | Mineola | 198685-0W | August 11, 2022 |
| Newman, Maureen | Ithaca | 243402-5W | August 11, 2022 |
| Nwako, Janerita | Hillside | PT044803-4W | August 11, 2022 |
| Onyekaba, Igwebuike | Duluth | 198714-8I | August 11, 2022 |
| Panitch, Deborah H. | Albany | S06384-2B | August 11, 2022 |
| Panter, Gideon G. | Palisades | 088027-8W | August 11, 2022 |
| Park, Ahyoung | Little Neck | PT041416-8W | August 11, 2022 |
| Pathy, Venkatachala | Madison | 114601-8W | August 11, 2022 |
| Pavlov, Helene | New York | 117221-2W | August 11, 2022 |
| Porcarelli, Francesco Luigi | Seattle | 100031-4W | August 11, 2022 |
| Postma, Christopher Joel | Denver | PT041700-5W | August 11, 2022 |
| Quill, Timothy E. | Rochester | 131983-9W | August 11, 2022 |
| Ramos, Sharena Nichell | Jamaica | C12493-5B | August 11, 2022 |
| Reatiraza, Jocelin N. | Poughkeepsie | 242551-0W | August 11, 2022 |
| Reichman, Meryl Janice | Fishkill | 203173-0B | August 11, 2022 |
| Rengarajan, Harish Kumar | Saint James | 296877-4W | August 11, 2022 |
| Rimlawi, Bassem M. | Dallas | 130574-7W | August 11, 2022 |
| Roche, Kevin Joseph | New Hope | 173170-2W | August 11, 2022 |
| Root, Daniel T. | Glenfield | 164940-9W | August 11, 2022 |
| Rosenblum, Martin Bernard | Woodbury | 091087-7W | August 11, 2022 |
| Rothman, Seymour Judah | New York | 090502-6W | August 11, 2022 |
| Saunders, Convard Alicia Carmen | Brooklyn | 275988-4W | August 11, 2022 |
| Schiffman, Richard Gary | Brooklyn | 135639-3W | August 11, 2022 |
| Schnur, Michael J. | Rye Brook | 131193-5W | August 11, 2022 |
| Shaikh, Khizer Salim | Lake Havasu City | 269527-8W | August 11, 2022 |
| Sifain, Andrew Rami | Rochester | 251789-4W | August 11, 2022 |
| Silver, Robert A. | New York | 081977-1W | August 11, 2022 |
| Simon, Marilyn Gillen | Baldwin | S06768-6W | August 11, 2022 |
| Simpkins, Cuthbert O. | Kansas City | 127916-5W | August 11, 2022 |
| Sobhani, Arman Amin | Port Jefferson | 304139-9W | August 11, 2022 |
| Stillman, Michael Allen | Waccabuc | 101234-3W | August 11, 2022 |
| Tanenbaum, Mark | New York | P03136-0W | August 11, 2022 |
| Tang, Shiu Ching | Elmhurst | 119415-8W | August 11, 2022 |
| Taylor, Jill | Tivoli | PT005587-2W | August 11, 2022 |
| Tepfer, Karl S. | Bellmore | S06111-9B | August 11, 2022 |
| Thalmann, James P. | Albany | S07450-0B | August 11, 2022 |
| Travaglione, Leonard | Saratoga Springs | S11531-1W | August 11, 2022 |
| Tursi, William | Nanuet | 139729-8W | August 11, 2022 |
| Vaccaro, Frank J. | Palm Beach Gardens | S08483-0W | August 11, 2022 |
| Warshall, Frederick I. | Brooklyn | S09598-4B | August 11, 2022 |
| Wasylyshyn, Marina Lubow | Johnson City | 193327-4W | August 11, 2022 |
| Weena, Ul | Babylon | 304156-3W | August 11, 2022 |
| Whittington, Robert Anthony | New York | 194291-1W | August 11, 2022 |
| Williams, Catherine Louise | Glenfield | 160319-0W | August 11, 2022 |
| Wilson, Christopher Allen | North Springfield | N767292-3W | August 11, 2022 |
| Wludyka, Dorothy A. | Staten Island | 090367-4W | August 11, 2022 |
| Yang, Jie | Scarsdale | PT012218-7W | August 11, 2022 |
| Youssef, Bishoy Wagih | Passaic | PT044253-2W | August 11, 2022 |
| Zax, Melvin | Rochester | S01383-9B | August 11, 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