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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. 046-663

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

Date: February 5, 2014

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 CITY OF PRACTICE AUTHORIZATION NUMBER* EFFECTIVE DATE
Derdzinski, David Anthony Anesthesiology Brooklyn 245345-4W January 15, 2014
Gruen, Amy Beth Anesthesiology Stony Brook 271196-8W January 14, 2014
Lee, Kathleen Jiyoung Anesthesiology New York 247747-9W January 14, 2014
Naljian, Vahe Garabed Anesthesiology Brooklyn 195813-1W January 14, 2014
Parks, Michael Lorin Anesthesiology Mount Kisco 271251-1W January 24, 2014
Sapson, Andrew Yefim Anesthesiology Johnson City 263655-3W January 6, 2014
Anderson, Jared Joseph Chiropractic Rochester C12186-5B January 24, 2014
Farruggio, Paul P Chiropractic Staten Island C11687-3W January 24, 2014
Flitt, Alana Margaret Chiropractic Buffalo C12403-4W January 24, 2014
Grazen, Jeffrey Ronald Chiropractic Lancaster C06068-3B January 24, 2014
Kim, Chang Sung Chiropractic Little Neck C12364-8W January 24, 2014
Lalor, Matthew J Chiropractic Floral Park C11878-8W January 24, 2014
Musial, Timothy John Chiropractic Elma C12285-5W January 24, 2014
Passalacqua, Shannon Lynn Chiropractic Canandaigua C12248-3W January 24, 2014
Ramzan, Sari Jasmat Chiropractic Brooklyn C11873-9B January 24, 2014
Schirmer, Matthew Chiropractic Plymouth C12419-0B January 24, 2014
Chu, Paul Dermatology, Dermatological Pathology Port Chester 192642-7B January 23, 2014
Cooper, Nancy A Diagnostic Radiology Warwick 264489-6W January 14, 2014
Del Arca, Hernan Cesar Diagnostic Radiology Clifton 231705-5W January 29, 2014
Kang, Stella Kijung Diagnostic Radiology New York 250648-3B January 14, 2014
Lantz, Athena Helena Diagnostic Radiology Tenafly 219587-3W January 29, 2014
Lombino, Michael Joseph Diagnostic Radiology Eden Prairie 260805-7W January 29, 2014
Mason, Thomas O Diagnostic Radiology East Aurora 255498-8W January 21, 2014
Mastroianni, Travis Anthony Diagnostic Radiology Orchard Park 260098-9W January 15, 2014
Saber, Cameron Russell Diagnostic Radiology Williamsville 273319-4W January 16, 2014
Saltz, Mary Morrison Diagnostic Radiology Stony Brook 272744-4W January 22, 2014
Sclafani, Teresa Z Diagnostic Radiology Eden Prairie 251497-4W January 29, 2014
Shukla, Mrugank Diagnostic Radiology Lindenhurst 268541-0W January 6, 2014
Berger, Abraham Emergency Medicine New York 211887-5I January 15, 2014
Blaufeux, Brian Alan Emergency Medicine Yorktown Heights 211488-2I January 28, 2014
Marcus, Robert H Emergency Medicine Yorktown Heights 124143-9B January 28, 2014
Spencer, James Peter Emergency Medicine Yorktown Heights 207225-4B January 30, 2014
Walther, Frederick Allen Emergency Medicine Yorktown Heights 197145-6B January 30, 2014
Weintraub, Melissa D Emergency Medicine Yorktown Heights 198305-5B January 30, 2014
Bullis, Kent Wesley Family Practice Ithaca 272708-9W January 24, 2014
Guevara, Ruth Family Practice Patchogue 253613-4W January 14, 2014
Gumuka, Michael Family Practice Queensbury 269376-0B January 30, 2014
Irani, Dinaz Family Practice New York 250585-7W January 14, 2014
Jones, Anne Celal Family Practice Ithaca 269763-9W January 6, 2014
Okazaki, Saburo Family Practice Buffalo 264734-5W January 24, 2014
Richardson, Dawn C Family Practice Manlius 220282-8W January 24, 2014
Zoghlin, Benson Louis Family Practice Hilton 169892-7W January 22, 2014
Francis, Desmond Internal Medicine Rome 269221-8W January 9, 2014
Mansour, Sherry George Internal Medicine Stony Brook 271829-4W January 14, 2014
Nagengast, Samantha Haley Internal Medicine Stony Brook 260786-9W January 14, 2014
Schwartz, Lisa Caryl Internal Medicine Fairport 206082-0W January 22, 2014
Togawa, Cynthia Aya Internal Medicine Stony Brook 272295-7W January 22, 2014
Williams, Aria Internal Medicine Middletown 271912-8B January 24, 2014
Messina, Anthony John Internal Medicine, Cardiovascular Poughkeepsie 230535-7B January 21, 2014
Kheterpal, Neil Internal Medicine, Gastroenterology Middletown 270700-8B January 23, 2014
Zimilevich, Bella Internal Medicine, Geriatic Medicine Brooklyn 251120-2W January 6, 2014
Zent, Clive Steven Internal Medicine, Hematology Rochester 272917-6W January 22, 2014
Deshpande, Priya Prakash Internal Medicine, Nephrology Brooklyn 257007-5W January 8, 2014
Levy, Ernesto N Internal Medicine, Rheumatology Niagara Falls 263037-4W January 16, 2014
Kim, Samuel Neurological Surgery New York 246540-9W January 29, 2014
Bunch, Marjorie Neurology, Clinical Neurophysiology Albany 247592-9I January 7, 2014
Sayegh, Michael Salem Wahban Ophthalmology Cornwall 204919-5B January 24, 2014
Joseph, James Orthopedic Surgery Yonkers 253642-3W January 2, 2014
Rajamanickam, Sendhan Amudhan Orthopedic Surgery Penfield 268490-0W January 8, 2014
Groch, Nicholas Richard Otolaryngology Oswego 270541-6W January 14, 2014
Au, Jessica Lang-Chi Physical Medicine/Rehabilitation New York 269781-1W January 7, 2014
Kim, Ruby E Physical Medicine/Rehabilitation Bronx 244653-2B January 6, 2014
Siddique, Arefin Physical Medicine/Rehabilitation Hopewell Junction 221473-2W January 14, 2014
Achar, Naveen Psychiatry Saratoga 214147-1W January 2, 2014
Manu, Lucian Miron Psychiatry Stony Brook 204837-9W January 14, 2014
Ishak, Charbel Radiology - Diagnostic Radiology Scarsdale 266333-4W January 29, 2014
Powell, Aaron Michael Radiology - Diagnostic Radiology Orchard Park 260279-5W January 16, 2014
Tafler, Alan Howard Radiology - Diagnostic Radiology Eden Prairie 207309-6W January 23, 2014
Holup, John L Surgery Franklin Lakes 241416-7W January 24, 2014
Spencer, Benjamin Alan Urology Mt Kisco 231292-4B January 30, 2014

*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"

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

 

Robert E. Beloten
Chair