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Subject Number 046-663 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

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, Geriatric 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