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New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-618

Changes to the List of Health Care Providers Authorized to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: August 20, 2013

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
Smith, Christine Saratoga Springs, NY 204665-4W May 29, 2013
Angelopoulos, Peter Garden City, NY 182538-9W June 7, 2013
Brahmbhatt,Yasim New York, NY 244225-9W June 7, 2013
Burke, John Glen Head, NY P01841-7W June 7, 2013
Caruso, Giulio Brooklyn, NY C07156-5W June 7, 2013
Danyluk, Daniel Oceanside, NY C04013-1W June 7, 2013
Dvoskin, Samuel New York, NY 044223-6W June 7, 2013
El Rouby, Fouad Rego Park, NY 148162-1W June 7, 2013
Fahey, Daniel Buffalo, NY 049415-3B June 7, 2013
Flores, Antonio Riverhead, NY 117462-2W June 7, 2013
Ford, Robert Rochester, NY 260261-3W June 7, 2013
Freiler, Elaine Islip, NY 153855-2W June 7, 2013
Garro, Brenda Newport Coast, CA 247438-5W June 7, 2013
Gassman, Jay Medford, NY S08758-5B June 7, 2013
Gilbert, Terence Albany, NY 186238-2W June 7, 2013
Glassman, Alenander New York, NY 085269-9W June 7, 2013
Gomez, Florencio Southold, NY 113433-7W June 7, 2013
Goodmark, Ronald Northport, NY C01750-1B June 7, 2013
Hamilton, Richard New York, NY 072131-6W June 7, 2013
Ingenito, Gennaro Hempstead, NY 104787-7W June 7, 2013
Izadi, Reza Plano, TX 244086-5W June 7, 2013
Jacobson, Myron West Hempstead, NY 084026-4W June 7, 2013
Karpac, Charity Rochester, NY 255242-0W June 7, 2013
Keating, Thomas Galloway, NJ C10950-5W June 7, 2013
Klapper, Stanley Bronx, NY P02164-3I June 7, 2013
Kwon, Soon Lagrangeville, NY 107834-4W June 7, 2013
Lazarus, Anthony Rochester, NY 122464-1W June 7, 2013
Leung, Euston New City, NY 137871-0W June 7, 2013
Levine, Bernard Valley Stream, NY 093095-8W June 7, 2013
Liptak, Gregory Syracuse, NY 124750-1W June 7, 2013
McCorvey, David Corning, NY 232184-2W June 7, 2013
Merlin, Richard Homer, NY C01796-4W June 7, 2013
Mittler, Barbara Pearl River, NY P03273-1B June 7, 2013
Mund, Alvin New York, NY 043723-6W June 7, 2013
Munn, Patricia Charlton, NY C06120-2W June 7, 2013
Napoli, Angelo Saint Augustine, FL P02150-2W June 7, 2013
Nussbaum, Moses New York, NY 078614-5W June 7, 2013
Nyquist, Gurston Auburndale, NY 247362-7W June 7, 2013
Phillippe, Camille Jamaica, NY 147143-2W June 7, 2013
Scaffidi, Salvatore Bellport, NY 119373-9W June 7, 2013
Schessel, Eli Forest Hills, NY 090165-2B June 7, 2013
Shepper, Edmond Bronx, NY 086722-6W June 7, 2013
Silber, Jeff Massapequa, NY C06289-5W June 7, 2013
Sterman, Irving Jacksonville, FL 094575-8I June 7, 2013
Troisi, Joseph Brooklyn, NY 043799-6W June 7, 2013
Valente, John Smithtown, NY P02113-0B June 7, 2013
Wang, Hillary Huntington, NY S09630-5W June 7, 2013
Yaryura, Tobias Great Neck, NY 095881-9W June 7, 2013
Younas, Baber Frisco, TX 227905-7W June 7, 2013
Brown, Annette New York, NY 126207-0W June 27, 2013
Cohen, Robert Rochester, NY 197847-7W June 27, 2013
Mayard, Gracia Cambria Heights, NY 151033-8W June 27, 2013
Vogel, Frank Syracuse, NY 150530-4B June 27, 2013
Luongo, Frank New York, NY 197117-5B June 28, 2013
Carozza, Joseph Merrick, NY 157636-2W June 28, 2013

*Providers authorized to treat only, have an authorization number ending in "W" – Providers authorized to treat and perform independent medical examinations, have an authorization number ending in "B" – Providers authorized to perform independent medical examinations only, 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.

 

Robert E. Beloten
Chair