Subject Numbers Regarding Health Provider Authorizations
April 30, 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 |
|---|---|---|---|
| Said, Zuheir Jamil** | Bronx, NY | 248691-8W | December 23, 2013 |
| Samuels, Steven | West Islip, NY | 124201-5W | December 30, 2013 |
| Keller, Rhonda | Out of State | 102056-9W | January 6, 2014 |
| Annicelli, Michael | Brooklyn, NY | C10503-3B | January 10, 2014 |
| Bacanovic, Helen | New York, NY | 095385-1W | January 10, 2014 |
| Blog, Harold | Northport, NY | 071782-7W | January 10, 2014 |
| Cohen, Jacob | New York, NY | 091773-2W | January 10, 2014 |
| Davidson, Morton | Larchmont, NY | 087041-0W | January 10, 2014 |
| Deangelis, Roger | Irvington, NY | 101812-6W | January 10, 2014 |
| Edwards, John | Castleton, NY | C01266-8W | January 10, 2014 |
| Emmett, Storer | Houghton, NY | 125520-7W | January 10, 2014 |
| Faraldi, Michael | Rhinebeck, NY | P05884-3W | January 10, 2014 |
| Fauci Jr., Peter | New Rochelle, NY | 081972-2B | January 10, 2014 |
| Fedorko, Martha | New York, NY | 085136-0W | January 10, 2014 |
| Feingold, Harris | Commack, NY | 160991-6W | January 10, 2014 |
| Feisen, Joseph | Wellsville, NY | 133852-4W | January 10, 2014 |
| Fischer, Stephen | Scarsdale, NY | 127398-6W | January 10, 2014 |
| Frackowiak, Barbara | Maspeth, NY | 192858-9W | January 10, 2014 |
| Gabrilove, Jacques | New York, NY | 037997-4W | January 10, 2014 |
| Gillen, Francis | New York, NY | 095780-3W | January 10, 2014 |
| Hough, David | Rochester, NY | 263048-1W | January 10, 2014 |
| Hunt, Carly | Holley, NY | 241601-4W | January 10, 2014 |
| Karp, Nancy | Buffalo, NY | S12687-0W | January 10, 2014 |
| Karten, Irving | New Rochelle, NY | 083651-0W | January 10, 2014 |
| Kelapire, Barbara | East Williston, NY | C04466-1W | January 10, 2014 |
| Lane, Stanley | New York, NY | 036938-9B | January 10, 2014 |
| Lanigan, Michelle | Brooklyn, NY | 156654-6W | January 10, 2014 |
| Levi, Michael | Rome, NY | 217243-5W | January 10, 2014 |
| Malone, Jennie | Binghamton, NY | 258781-4W | January 10, 2014 |
| Mottern, Richard | Canandaigua, NY | 161953-5W | January 10, 2014 |
| Novak, Stanley | Rochester, NY | 101497-6W | January 10, 2014 |
| Okoronkwo, Ifeoma | New York, NY | 201367-0B | January 10, 2014 |
| Osborn, Harold | New Rochelle, NY | 109399-6W | January 10, 2014 |
| Ozden, Nuri | Rochester, NY | 255095-2W | January 10, 2014 |
| Pool, Naomi | Eastchester, NY | 042733-6W | January 10, 2014 |
| Reynolds, Benedict | Bronx, NY | 071780-1W | January 10, 2014 |
| Samter, Brent | Elmira, NY | 181228-8W | January 10, 2014 |
| Secreti, Lalainia | Syracuse, NY | 234108-9W | January 10, 2014 |
| Sera-Kingsley, Nobuko | New Rochelle, NY | 127063-6W | January 10, 2014 |
| Serletti, Joseph | Amityville, NY | 072745-3B | January 10, 2014 |
| Singer, Adolf | Southampton, NY | 087323-2W | January 10, 2014 |
| Tjan, Stephanus | Lindenhurst, NY | 130863-4W | January 10, 2014 |
| Weir Jr., William | Wading River, NY | 086826-5W | January 10, 2014 |
| Welner, Michael | New York, NY | 185020-5W | January 10, 2014 |
| Zaslofsky, Judith | Flushing, NY | 188654-8W | January 10, 2014 |
| Zeiguer, Luis | Bronx, NY | 125468-9W | January 10, 2014 |
| Garrett, Michael | Barneveld, NY | 146407-2W | January 29, 2014 |
| Schwartz, David | Roslyn, NY | 095193-9W | January 31, 2014 |
| Agustin, Benjamin | Dansville, NY | 110462-9W | February 7, 2014 |
| Archer, George | Brooklyn, NY | 095709-2W | February 7, 2014 |
| Bailey, David | Olean, NY | 133750-0B | February 7, 2014 |
| Bryla, Robert | Utica, NY | C02043-0B | February 7, 2014 |
| Cadet, Edwin | New York, NY | 238955-9W | February 7, 2014 |
| Candaras, Michael | Lakeview, NY | 170717-3W | February 7, 2014 |
| Cohen, Robert | Hornell, NY | 156432-7W | February 7, 2014 |
| Cottrell, Thomas | Cutchogue, NY | 096916-2W | February 7, 2014 |
| Diamond, Stephen | Spring Valley, NY | C00083-8W | February 7, 2014 |
| Dilello, Edmund | Flushing, NY | 132954-9W | February 7, 2014 |
| Ebin, Eva | Floral Park, NY | 083016-6W | February 7, 2014 |
| Gardner, Pierce | Setauket, NY | 178904-9W | February 7, 2014 |
| Golato, Joseph | Hampton Bays, NY | C01574-5B | February 7, 2014 |
| Gomez, Delvin | Liverpool, NY | C09337-9W | February 7, 2014 |
| Kasprzak, Donald | Plattsburgh, NY | 073443-4W | February 7, 2014 |
| Khan, Kamran | Oswego, NY | L03212-8W | February 7, 2014 |
| Lowenstein, Alfred | Cedarhurst, NY | 081264-4B | February 7, 2014 |
| Lowy, Alfred | New York, NY | 042760-9W | February 7, 2014 |
| Lukose, Joseph | Melville, NY | 130839-4W | February 7, 2014 |
| Masso, Peter | Manhasset, NY | 083077-8W | February 7, 2014 |
| Paastuch, Keith | Hicksville, NY | C02447-0B | February 7, 2014 |
| Prasarn, Mark | Rochester, NY | 248584-5W | February 7, 2014 |
| Russell Jr., Robert | Mount Vernon, NY | C02707-0W | February 7, 2014 |
| Sager, Dianne | Port Chester, NY | 139665-4W | February 7, 2014 |
| Santandreu, Rafael | Elmhurst, NY | 110878-6W | February 7, 2014 |
| Santillo, Martin | East Patchogue, NY | C01830-1B | February 7, 2014 |
| Scheinman, Steven | Syracuse, NY | 141963-9W | February 7, 2014 |
| Schiowitz, Stanley | Great Neck, NY | 045889-3W | February 7, 2014 |
| Simon, Geoffrey | New Hartford, NY | 105165-5W | February 7, 2014 |
| Singh, Ravinder | Olean, NY | L03919-8W | February 7, 2014 |
| Sproul, Jack | Cortland, NY | 185796-0W | February 7, 2014 |
| Stark, Jay | Rome, NY | 156409-5W | February 7, 2014 |
| Sutcliffe III, Joseph | Corning, NY | 263188-5W | February 7, 2014 |
| Tesoriero, Jack | Deer Park, NY | C04766-4B | February 7, 2014 |
| Torretti, Jorge | Syracuse, NY | 121871-8W | February 7, 2014 |
| Vivenzio, Rocco | Rochester, NY | 142790-5W | February 7, 2014 |
| Wank, Kenneth | Floral Park, NY | C04392-3W | February 7, 2014 |
| Wiles, Joseph | Marlboro, NY | C11071-0B | February 7, 2014 |
| Yale-Loehr, Amy | Ithaca, NY | 181657-8W | February 7, 2014 |
| Altman, Kurt | New York, NY | 089232-3W | February 11, 2014 |
| Hsu, David | Centerport, NY | 120113-6W | February 21, 2014 |
| Kanevsky, Zhanna | Brooklyn, NY | 208006-7W | February 21, 2014 |
| Andrst, Boris | East Setauket, NY | 082400-3W | March 13, 2014 |
| Basile, Joseph | Kingston, NY | 133805-2W | March 13, 2014 |
| Bruns, Jill | Monticello, NY | 233660-0W | March 13, 2014 |
| Cheng, Huan | Franklin Square, NY | 126911-7W | March 13, 2014 |
| Cohen, Wendy | Out of State | 109207-1B | March 13, 2014 |
| Estramonte, Dean | Greenwich, NY | C07326-4W | March 13, 2014 |
| Fishler, James | Poughkeepsie, NY | 070929-5W | March 13, 2014 |
| Flynn, John | New York, NY | 041899-6W | March 13, 2014 |
| Goldflam, Gerald | Massapequa Park, NY | C01127-2B | March 13, 2014 |
| Goldstein, Robert | Hicksville, NY | 096833-9W | March 13, 2014 |
| Greco, Pasquale | Cheektowaga, NY | 044085-9W | March 13, 2014 |
| Guerrero, Salvador | Port Jervis, NY | 232022-4W | March 13, 2014 |
| Guram, Sukhbir | Lake Success, NY | 263461-6W | March 13, 2014 |
| Hall-Rhoades, Erin | Ithaca, NY | 233368-0B | March 13, 2014 |
| Harder, Jonathan | Slingerlands, NY | 257939-9W | March 13, 2014 |
| Hasan, Shaikh | Brooklyn, NY | 198890-6W | March 13, 2014 |
| Henry, Walter | Port Jefferson, NY | 073838-5W | March 13, 2014 |
| Maunglay, Soe | Out of State | 252568-1I | March 13, 2014 |
| Modica, Edmondo | Douglaston, NY | 079195-4W | March 13, 2014 |
| Mohandoss, Sundararaju | Out of State | 130720-6W | March 13, 2014 |
| Obrien, Edward | Out of State | 235282-1W | March 13, 2014 |
| Oliveros, Elder | Out of State | 257220-4W | March 13, 2014 |
| Ong, Yak | Brooklyn, NY | 117725-2W | March 13, 2014 |
| Parashar, Laxman | Poughkeepsie, NY | 115318-8W | March 13, 2014 |
| Pegels, Janice | Out of State | 171175-3W | March 13, 2014 |
| Pierre, Nedjie | Brooklyn, NY | P05538-5W | March 13, 2014 |
| Poon, Colin | Out of State | L02748-2W | March 13, 2014 |
| Pramberger, Peter | Syosset, NY | C02996-9W | March 13, 2014 |
| Punzal, Romeo | Orchard Park, NY | 108251-0W | March 13, 2014 |
| Ramadan, Farouk | Staten Island, NY | 127161-8W | March 13, 2014 |
| Ramsdell, John | White Plains, NY | 080364-3W | March 13, 2014 |
| Rostain, Hana | New York, NY | 085580-9W | March 13, 2014 |
| Salamone, Raymond | Out of State | 047573-1W | March 13, 2014 |
| Saltman, Adam | Brooklyn, NY | 212922-9W | March 13, 2014 |
| Schwartz, Kenny | Ossining, NY | 148738-8B | March 13, 2014 |
| Shoales, Elbis | Marion, NY | 070334-8W | March 13, 2014 |
| Taira, Taku | Stony Brook, NY | 247649-7W | March 13, 2014 |
| Thangathurai, Josephine | Olean, NY | L02770-6W | March 13, 2014 |
| Valinoti, Robert | Staten Island, NY | C05635-0B | March 13, 2014 |
| Vuljaj, Nikola | Out of State | 264526-5W | March 13, 2014 |
| Wager, John | Out of State | S19003-3W | March 13, 2014 |
| Wallach, Steven | Forest Hills, NY | C10398-8B | March 13, 2014 |
| Ward, Franklin | Bronx, NY | 086210-2W | March 13, 2014 |
| Watt, Angela | Saratoga, NY | 191648-5W | March 13, 2014 |
| Wendt, Tara | Out of State | 256922-6W | March 13, 2014 |
| Williams, Jesse | Syracuse, NY | 102119-5W | March 13, 2014 |
| Wright, Peter | Cooperstown, NY | 137842-1W | March 13, 2014 |
| Yu, Guan-Hiok | Dix Hills, NY | 132543-0W | March 13, 2014 |
| Zarrabi, Mohammad | Northport, NY | 113898-1W | March 13, 2014 |
| Zheng, Yining | Airmont, NY | 224354-1W | March 13, 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"
** Previously, this provider's authorization to treat injured workers was temporarily suspended on March 5, 2012 (see Subject No. 046-479). However, 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, their Board authorization(s) has been permanently removed.
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