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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. 046-655

Newly Authorized Health Care Providers Approved to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: December 5, 2013

The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.

NAME SPECIALTY AREA
OF PRACTICE
AUTHORIZATION
NUMBER*
EFFECTIVE
DATE
SCINTO JOHN DANIEL ALLERGY AND IMMUNOLOGY, INTERNAL MEDICINE 202276-2B 11/25/2013
CHU KIMBERLY ERIN ANATOMIC PATHOLOGY 231642-0I 11/4/2013
SHARMA VANDANA ANESTHESIOLOGY 266449-8W 11/13/2013
MEHTA NEEL DEVENDRA ANESTHESIOLOGY 245312-4W 11/20/2013
ERFE FRANCISCO FERNANDEZ JR ANESTHESIOLOGY 206567-0W 11/25/2013
COMUNIELLO CARL JEFFREY ANESTHESIOLOGY 203644-0W 11/25/2013
JOYO GHULAM SHABIR ANESTHESIOLOGY 232612-2W 11/25/2013
GARGANI STEPHANIE ANESTHESIOLOGY 259528-8W 11/25/2013
SHIN MICHAEL MINCHUL ANESTHESIOLOGY 219628-5W 11/25/2013
SHAHBAZ NOREEN ANESTHESIOLOGY 227254-0W 11/25/2013
RODRIGUEZ EVAN MATTHEW ANESTHESIOLOGY 267963-7W 11/25/2013
PFEIFFER THOMAS ALLEN ANESTHESIOLOGY 267850-6W 11/25/2013
KO MICHAEL ANESTHESIOLOGY, ANESTHESIOLOGY - PAIN MANAGEMENT 271704-9W 11/27/2013
WAINWRIGHT BRENT DENMAN DERMATOLOGY 234018-0B 11/25/2013
BELLON LANA DIAGNOSTIC RADIOLOGY 269351-3W 11/5/2013
JAWETZ SHARI TAMAR DIAGNOSTIC RADIOLOGY 250245-8W 11/20/2013
EWY BRIAN RANDALL DIAGNOSTIC RADIOLOGY 239044-1W 11/20/2013
NEVSKY GREGORY DIAGNOSTIC RADIOLOGY 253980-7W 11/25/2013
MARTINO JENNIFER MARIE DIAGNOSTIC RADIOLOGY 203941-0W 11/25/2013
ZITO JOSEPH ANTHONY EMERGENCY MEDICINE 257254-3B 11/1/2013
PERSKY ADAM DAVID EMERGENCY MEDICINE 258692-3W 11/8/2013
NACCA KATHERINE MICHELE EMERGENCY MEDICINE 265852-4W 11/12/2013
NICHOLAS ELIZABETH ELLEN EMERGENCY MEDICINE 270884-0W 11/13/2013
PATRICK PAUL A EMERGENCY MEDICINE 240139-6W 11/20/2013
DICKINSON DANIEL S EMERGENCY MEDICINE 251231-7B 11/27/2013
SHIVES ERIC RUSSELL FAMILY PRACTICE 272179-3W 11/5/2013
FAVREAU-HERZ DAHLIA FAMILY PRACTICE 264411-0W 11/8/2013
JANAS NODAR FAMILY PRACTICE 226527-0I 11/12/2013
GUPTA SADHANA FAMILY PRACTICE 214772-6W 11/12/2013
ELKINS CINTHIA LISA FAMILY PRACTICE 271048-1W 11/13/2013
LETTRICK MICHAEL ALLEN FAMILY PRACTICE 189372-6W 11/15/2013
SEIGEL REBECCA RAE FAMILY PRACTICE 210769-6W 11/25/2013
SALEI INESA FAMILY PRACTICE 270930-1B 11/27/2013
ELLIOTT BRIAN MARC INTERNAL MEDICINE 251161-6I 11/4/2013
LANE MATTHEW JOHN INTERNAL MEDICINE 237202-7W 11/8/2013
TAYLOR EMILY OTIS INTERNAL MEDICINE 256407-8W 11/8/2013
HESS MATTHEW J INTERNAL MEDICINE 269454-5W 11/12/2013
SIP ANNA KATARZYNA INTERNAL MEDICINE 271612-4W 11/20/2013
AGNO FELIZEN SOTO INTERNAL MEDICINE, CARDIOVASCULAR 271686-8W 11/5/2013
VASAVADA BALENDU C INTERNAL MEDICINE, CARDIOVASCULAR 133619-7W 11/12/2013
WINCHESTER-PENNY SHERMA GAIL INTERNAL MEDICINE, CARDIOVASCULAR 188808-0B 11/12/2013
RIBAUDO THOMAS P INTERNAL MEDICINE, CARDIOVASCULAR 139063-2W 11/15/2013
SILVERMAN GARY E INTERNAL MEDICINE, CARDIOVASCULAR, INTERVENTIONAL CARDIOLOGY 172939-1B 11/8/2013
LEDERMAN STEVEN J INTERNAL MEDICINE, CARDIOVASCULAR, INTERVENTIONAL CARDIOLOGY 194055-0W 11/12/2013
PERILLO IRENE B INTERNAL MEDICINE, CRITICAL CARE MEDICINE, PULMONARY DISEASES 197242-1B 11/20/2013
DHALIWAL RUBAN INTERNAL MEDICINE, ENDOCRINOLOGY 270057-3W 11/12/2013
COHEN DARA HOPE INTERNAL MEDICINE, ENDOCRINOLOGY, DIABETES AND METABOLISM 252609-3I 11/8/2013
GUPTA PARANTAP INTERNAL MEDICINE, GASTROENTEROLOGY 264327-8B 11/8/2013
MINANO CECILIA INTERNAL MEDICINE, GASTROENTEROLOGY 247086-2B 11/8/2013
SETHI DINESH INTERNAL MEDICINE, GERIATRIC MEDICINE 230596-9W 11/1/2013
GOLDSTEIN JONATHAN MILES NEUROLOGY 270535-8W 11/22/2013
GERALDI-SAMARA DANIELLE NEUROLOGY 240518-1W 11/25/2013
PERSAUD ANDRE A OBSTETRICS/GYNECOLOGY 151520-4B 11/1/2013
SHAKOOR AKBAR OPHTHALMOLOGY 269311-7W 11/8/2013
PENCE MELANIE LYNN OTOLARYNGOLOGY 269960-1W 11/15/2013
INGLE JOHN WALTER OTOLARYNGOLOGY 271897-1W 11/20/2013
MITRANI PAUL ANTHONY PEDIATRICS, PSYCHIATRY, CHILD PSYCHIATRY 254109-2W 11/4/2013
MOTTAHEDEH DEBORA PHYSICAL MEDICINE/REHABILITATION 248391-5W 11/12/2013
ANAND ANURADHA PHYSICAL MEDICINE/REHABILITATION 271954-0W 11/20/2013
WALTON BENITA JO PSYCHIATRY 171559-8W 11/13/2013
SWAMINATHAN KAMALI PSYCHIATRY 260431-2W 11/13/2013
GLOZMAN ALEXANDR JOSIFOVICH PSYCHIATRY 209215-3W 11/13/2013
BEASLEY-IRVING APRIL MARIE PSYCHIATRY 239779-2W 11/13/2013
HYON SUNG PSYCHIATRY 251141-8W 11/18/2013
ELSHAFEI ASHRAF G PSYCHIATRY 249211-4W 11/25/2013
KIMBALL RANDALL MARK SURGERY 271859-1W 11/8/2013
WIGDERSON JONATHAN DAVID SURGERY 186538-5W 11/8/2013
ARSENOUS ANNA SURGERY 204725-6W 11/8/2013

*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”

The following doctors have been added to the list of Impartial Specialists eligible for appointment in specific cases by the Board.

NAME SPECIALTY AREA
OF PRACTICE
LICENSE
NUMBER
EFFECTIVE
DATE
END DATE
SCHAEFFER MARTIN ALAN PHYSICAL MEDICINE/REHABILITATION, PAIN MANAGEMENT 186783 11/13/2013 11/13/2018

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

 

Robert E. Beloten
Chair