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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. 046-664

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

Date: February 7, 2014

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
Abdelwahab, Ibrahim Forest Hills, NY 133787-2W November 8, 2013
Allan, David Durham, NY P04053-6W November 8, 2013
Bessette, Russell Orchard Park, NY 130805-5W November 8, 2013
Beyers, Milton Bay Shore, NY 047283-7W November 8, 2013
Bhandarkar, Gopal Bayport, NY 109010-9W November 8, 2013
Birkett, David Suffern, NY 105902-1I November 8, 2013
Bushansky, Abe Rego Park, NY P04994-1B November 8, 2013
Cassara, Ronald Peconic, NY 143023-0W November 8, 2013
Cohen, Arnold White Plains, NY 078664-0W November 8, 2013
Coryllos, Elizabeth Glen Head, NY 073989-6W November 8, 2013
Dahill, Barbara Grand Island, NY C07454-4W November 8, 2013
Danner, Antoinette Brooklyn, NY C06382-8W November 8, 2013
Desai, Apeksha Rochester, NY L03094-0W November 8, 2013
Dísa, Peter Out of State 170734-8W November 8, 2013
Frahman, Frank East Hills, NY 105757-9W November 8, 2013
Frenkel, Richard White Plains, NY 093189-9W November 8, 2013
Garofalo, Ferdinand Brooklyn, NY 085439-8W November 8, 2013
Gessner, William Kingston, NY 156643-9W November 8, 2013
Guarneri, Victor Bayside, NY 042384-8W November 8, 2013
Hadpawat, Narendra Lawrence, NY 135196-4W November 8, 2013
Heise, Carl Chappaqua, NY 185547-7B November 8, 2013
Hobika, John New Hartford, NY 078883-6W November 8, 2013
Hu, Youjun Stony Brook, NY 218550-2W November 8, 2013
Kanski, James Eggertsville, NY 086275-5W November 8, 2013
Khanna, Rajan Syracuse, NY L03842-2W November 8, 2013
Kirkland, Elizabeth Bayport, NY C08302-4W November 8, 2013
Koo, Young Endwell, NY 125135-4W November 8, 2013
Kuthuru, Mahesh Fulton, NY 215662-8W November 8, 2013
Laucella, Anthony Bayside, NY 091828-4W November 8, 2013
Lewis, Leon Williamsville, NY 096898-2B November 8, 2013
Luntz, Maurice New York, NY 133478-8W November 8, 2013
Mason, Susan Alfred, NY 254950-9W November 8, 2013
Mendonza, Ronald Orchard Park, NY 128133-6W November 12, 2013
Menichello, Monica Owego, NY 245688-7W November 12, 2013
Munczek, Debora New York, NY S12924-7W November 12, 2013
Nailor, John New York, NY 124754-3W November 12, 2013
Nurenberg, Jeffry Pomona, NY 106141-5W November 12, 2013
Ogbonna, Justin Kingston, NY P06374-4W November 12, 2013
Oktay, Asian New York, NY 103099-8W November 12, 2013
Osborne, Thomas Endwell, NY 248823-7W November 12, 2013
Parikh, Suresh W. Seneca, NY 145098-0W November 12, 2013
Randall, Patricia Fayetteville, NY 123800-5W November 12, 2013
Rasweiler, Calvin Garden City, NY 070304-1W November 12, 2013
Rivera, Abraham Tampa, FL 192496-8I November 12, 2013
Penfield, John Vestal, NY 218868-8W November 12, 2013
Picinich, Suzanne Williamsville, NY 174681-7W November 12, 2013
Poursartip, Maryam Brooklyn, NY L03535-2B November 12, 2013
Sands, Donna Out of State C10501-7B November 12, 2013
Sangosanya, Abolaji Out of State 123460-8W November 12, 2013
Schonfeld, Wendy Out of State C06103-8W November 12, 2013
Sillars, David Out of State 131203-2W November 12, 2013
Stefanelli, Danette Out of State C08653-0W November 12, 2013
Stein, Michael Hauppauge, NY 128067-6W November 12, 2013
Tahera, Syeda Middletown, NY 119485-1W November 12, 2013
Tetro, Rocco New York, NY C09486-4W November 12, 2013
Torzewski, Erin New York, NY C11528-9W November 12, 2013
Wagner, Daniel Out of State S17505-9B November 12, 2013
Concoby, Dennis Johnson City, NY 226295-4W November 18, 2013
McCarville, Michael Vestal, NY 172189-3W December 2, 2013
Redmond, Stephen Out of State 111871-0W December 4, 2013
Ahmed, Niaz Loudonville, NY 141562-9W December 9, 2013
Attia, Hosam Slingerlands, NY 254811-3W December 9, 2013
Azmoon, Shahdad Mount Kisco, NY 247114-2I December 9, 2013
Baldwin, Frank Ithaca, NY 086992-5W December 9, 2013
Beavers, Russell Huntington, NY 135433-1W December 9, 2013
Bell, James Penn Yan, NY 202333-1W December 9, 2013
Bello, Eric East Greenbush, NY 138828-9W December 9, 2013
Blum, Gerald New York, NY 081000-2W December 9, 2013
Chiavetta-Grisanti, Jennifer Lockport, NY C10990-2B December 9, 2013
Colancecco, Michael Stony Brook, NY 262592-9W December 9, 2013
Datta, Pranab Vestal, NY 125035-6W December 9, 2013
DelGaizo, Christine Out of State 143264-0W December 9, 2013
Desai, Kinnari New York, NY 249938-2W December 9, 2013
Dick, Bruce Out of State 172009-3B December 9, 2013
Drusano, George Latham, NY 195525-1W December 9, 2013
Figueira, Theresa New York, NY 078700-2W December 9, 2013
Flink, Elisheva Out of State 201650-9B December 9, 2013
Green, Douglas East Corning, NY 262517-6W December 9, 2013
Gregory, Daniel Cooperstown, NY 183012-4W December 9, 2013
Griboff, Solomon Long Beach, NY 071565-6W December 9, 2013
Gruis, Kirsten Out of State 263856-7W December 9, 2013
Hall, Alexandra Ithaca, NY 233457-1W December 9, 2013
Hanache, Marie Old Westbury, NY 081189-3W December 9, 2013
Hay, Roger Out of State 239398-1W December 9, 2013
Hayes, Joseph Out of State 159224-5W December 9, 2013
Holmblad, James Schenectady, NY 072960-8B December 9, 2013
Johnson, Jennifer Stony Brook, NY 216261-8W December 9, 2013
Kardooni, Kaveh Out of State 257031-5W December 9, 2013
Kavoussi, James Brooklyn, NY 079931-2W December 9, 2013
Koeppel, Richard Easthampton, NY 090546-3W December 9, 2013
Kohan, Silviu New York, NY 118617-0W December 9, 2013
Labanowski, Mary Rochester, NY 158798-9W December 9, 2013
Lin, Michael E. Amherst, NY 151023-9W December 9, 2013
Livingston, John Out of State 101250-9W December 9, 2013
Losoponkul, Sawat Williston Park, NY 127955-3W December 9, 2013
Mahoney, Dennis Bridgeport, NY 128198-9W December 9, 2013
Milek, Debra New York, NY 167248-4B December 9, 2013
Nguyen, Loan Staten Island, NY 239907-9W December 9, 2013
Ouellette, Thomas Out of State C09148-0B December 9, 2013
Park, Thomas Rochester, NY 239926-9W December 9, 2013
Peeling, Lissa Out of State L03863-8W December 9, 2013
Philip, Leena Mohegan Lake, NY 225325-0B December 9, 2013
Proner, Jacqueline Flushing, NY 184953-8W December 9, 2013
Ramirez, Reinier Out of State 202453-7W December 9, 2013
Rivelloi, Christa Albany, NY C05444-7W December 9, 2013
Rousta, Mehdi Staten Island, NY 125645-2W December 9, 2013
Lax Salton, William New York, NY S11620-2B December 9, 2013
San Pedro, Carmelita Rochester, NY 115390-7W December 9, 2013
Schlageter, David Rochester, NY 101885-2W December 9, 2013
Shah, Shilpan Stony Brook, NY 255533-2W December 9, 2013
Shankar, Ravi Out of State 232914-2W December 9, 2013
Sheehy, Audrey-Jean Brooklyn, NY 093167-5W December 9, 2013
Silberberg, Nathaniel Out of State 147186-1W December 9, 2013
Singh, Anil Watertown, NY L03624-4W December 9, 2013
Stabile, Thomas Commack, NY C09458-3W December 9, 2013
Trout, Adriane Macedon, NY 239668-7W December 9, 2013
Yuzak, Dodanli Out of State 189780-0W December 9, 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