Subject Numbers Regarding Health Provider Authorizations
May 27. 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 |
|---|---|---|---|---|
| Olteanu, Oana Monica | Anesthesiology | Mount Kisco | 239625-7W | April 1, 2014 |
| Stern, Shveta Sinha | Anesthesiology | Mount Kisco | 272751-9W | April 2, 2014 |
| Huang, James | Anesthesiology | Potsdam | 231502-6W | April 2, 2014 |
| Amponsah, Akwasi Peprah | Anesthesiology | Staten Island | 266582-6W | April 3, 2014 |
| Annam, Sandeep Kumar | Anesthesiology | Selden | 270386-6W | April 3, 2014 |
| Caggiano, Ashley Norman | Anesthesiology | Mount Kisco | 247016-9W | April 28, 2014 |
| Rosenberg, Laurence Jay | Anesthesiology | Melville | 180985-4W | April 30, 2014 |
| Radianu, Andrei Eugen | Anesthesiology, Critical Care Medicine | Selden | 228704-3W | April 3, 2014 |
| Tramontano, Anthony F | Cardiovascular | Saranac Lake | 229089-8W | April 7, 2014 |
| Shah, Neil Pravin | Diagnostic Radiology | Mount Kisco | 250791-1B | April 1, 2014 |
| Awobuluyi, Michele Modupe | Diagnostic Radiology | New York | 191625-3W | April 7, 2014 |
| Mandel, Steven Mark | Diagnostic Radiology | Lindenhurst | 148318-9B | April 10, 2014 |
| Kolanko, Nicholas Michael | Diagnostic Radiology | Stony Brook | 273784-9W | April 28, 2014 |
| Gupta, Rajesh | Emergency Medicine | Yorktown Heights | 197245-4I | April 1, 2014 |
| Stratemeier, Michael William | Emergency Medicine | Stony Brook | 219353-0B | April 3, 2014 |
| Melicharek, Mariann | Emergency Medicine | Bellmore | 190107-3W | April 15, 2014 |
| Roazen, Lisa Michelle | Emergency Medicine | Brooklyn | 244333-1W | April 16, 2014 |
| Schug, Molly Elizabeth | Family Practice | Utica | 270764-4W | April 3, 2014 |
| Herbst, Brian Alan | Family Practice | Orchard Park | 269428-9W | April 3, 2014 |
| Sharma, Kavita | Family Practice | New York | 250053-6W | April 7, 2014 |
| Cruz-Tolentino, Minnie Sheila D | Family Practice | New Hartford | 272568-7W | April 10, 2014 |
| Day, Daniel David | Family Practice | Rochester | 254986-3W | April 10, 2014 |
| Vasquez, Romulo Vicente | Family Practice | Johnson City | 272256-9W | April 14, 2014 |
| Korneeva-Vladimirsky, Irina Lvo | Family Practice | Brooklyn | 249981-2B | April 16, 2014 |
| Hervada, Teresa | Family Practice | Bronx | 211433-8W | April 25, 2014 |
| Safran, Michael Lee | Family Practice | Hurley | 153063-3W | April 28, 2014 |
| Savarino, Daniel Stephen | Family Practice | East Meadow | 243935-4W | April 30, 2014 |
| Rehmani, Muhammad B | Internal Medicine | Rock Hill | 216063-8B | April 2, 2014 |
| Tillmon, Bernadette Renee | Internal Medicine | Fishkill | 187529-3W | April 3, 2014 |
| Edgecomb, Paul Steven | Internal Medicine | Huntington | 267506-4W | April 3, 2014 |
| Marchelska, Elzbieta | Internal Medicine | Elmhurst | 242846-4W | April 14, 2014 |
| Pagonis, Panagiotis | Internal Medicine | Flushing | 211027-8B | April 30, 2014 |
| Ascenzo, Jeffrey D | Internal Medicine, Cardiovascular | Syracuse | 250941-2W | April 7, 2014 |
| Conrad, Arnold R | Internal Medicine, Cardiovascular | West Islip | 139535-9W | April 28, 2014 |
| Helft, Steven Eric | Internal Medicine, Gastroenterology | Fishkill | 237400-7W | April 28, 2014 |
| Sierecki, Mitchell Robert | Internal Medicine, Medical Oncology | Huntington | 254407-0W | April 3, 2014 |
| Rosen, Michael Andrew | Internal Medicine, Nephrology | Mount Kisko | 222829-4B | April 1, 2014 |
| Fahrbach, John | Neurological Surgery | Williamsville | 243524-6B | April 9, 2014 |
| Mathew, Jacob Kurudamannil | Neurology | Port Jefferson | 196027-7B | April 4, 2014 |
| Fray, Cecile | Ingrid Neurology | Tarrytown | 167708-7W | April 16, 2014 |
| Nguyen, Trang Bichngoc | Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine | W. Hampton Bch | 269415-6W | April 11, 2014 |
| Cross, Michael Brian | Orthopedic Surgery | New York | 247752-9W | April 7, 2014 |
| Hoang, Bang Hai | Orthopedic Surgery | Bronx | 220770-2B | April 9, 2014 |
| Patel, Prerana Narendrakumar | Orthopedic Surgery | Albany | 273037-2W | April 10, 2014 |
| Bustillo, Jorge | Orthopedic Surgery | Corning | 273546-2W | April 14, 2014 |
| Karpman, Robert R | Orthopedic Surgery | Cortland | 254618-2B | April 24, 2014 |
| Everding, Nathan Gerald | Orthopedic Surgery, Hand Surgery | Syracuse | 273744-3W | April 30, 2014 |
| Dowling, Vincent Scott | Pediatrics | Forest Hills | 220677-9W | April 30, 2014 |
| Ashton, Adam Keller | Psychiatry | Amherst | 176946-2I | April 2, 2014 |
| Stevens, Carol Melinda | Surgery | Baldwinsville | 271807-0W | April 30, 2014 |
| Stoner, Michael Clinton | Surgery, General Vascular Surgery | Rochester | 272470-6W | April 14, 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"
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 | CITY OF PRACTICE | LICENSE NUMBER | EFFECTIVE DATE | END DATE |
|---|---|---|---|---|---|
| Serle, Janet Barbra | Ophthalmology | Lake Success | 147321 | April 1, 2014 | April 1, 2019 |
| Hootnick, David Randall | Orthopedic Surgery | Liverpool | 128072 | April 17, 2014 | April 17, 2019 |
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair