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Workers' Compensation Board

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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. 046-737

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

Date: October 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
Black, Harvey Elliott Cicero 149425-1W August 5, 2014
Greenberg, Steven Mark Roslyn 158996-9W August 5, 2014
Miran, Michael D Rochester S05412-2W August 5, 2014
Theodore, Leslie Dantes Dix Hills 185234-2W August 5, 2014
Aszody, Gabriela Beacon 148046-6W August 12, 2014
Aventuro, Louis J Garnerville 095901-5B August 12, 2014
Ayuyao, Nilo Fernandez Dunkirk 261189-5W August 12, 2014
Bernstein, Ellen Greenwald Plainview C03272-4W August 12, 2014
Birnbaum, Steven Gregg Newburgh C04686-4B August 12, 2014
Bulawa, Erick Charles Rome 179208-4W August 12, 2014
Canavan, Thomas E Albany 153005-4W August 12, 2014
Corrigan, Frank John Binghamton 251246-5W August 12, 2014
Danes, Stratton George Cooperstown 214947-4W August 12, 2014
Danesh, Sadegh Batavia 105464-2W August 12, 2014
DeFeo, Charles Peter Jr New York 075205-5W August 12, 2014
Demtrak, Christopher Starson Vestal 094998-2W August 12, 2014
Eagle, Toby Smithtown C05628-5W August 12, 2014
Fetouh, Zeinab Saleh Buffalo 142661-8W August 12, 2014
Goldstein, Marion Zucker Buffalo 084355-7W August 12, 2014
Goldstein, Martin S New York 100242-7W August 12, 2014
Herchak, Lauren Christine Middletown 257832-6W August 12, 2014
Hwang, Chul Schenectady 121544-1W August 12, 2014
Kauffman, Jeffrey I Poughkeepsie 199620-6W August 12, 2014
Leavens, John Edward West Islip 227526-1W August 12, 2014
Lipton, Arnold A New York 093257-4W August 12, 2014
Lockwood, Alan Herbert Buffalo 120835-4W August 12, 2014
Miro, Andrew Stephen St. James C03757-4W August 12, 2014
Nanavaty, Jay Penfield 111732-4W August 12, 2014
Murphy, James M New York 085380-4W August 12, 2014
O'Connor, Thomas Francis Eastchester 076344-1W August 12, 2014
Ochoa, Manuel Jr New York 082703-0W August 12, 2014
Pliskin, Alexander Douglaston 154866-8W August 12, 2014
Posner, Alan Irving Niskayuna 087885-0W August 12, 2014
Pugeda-Chan, Rubena Caparaz Bronx 115346-9W August 12, 2014
Ravindranath, Somalinga S Port Washington 111535-1W August 12, 2014
Rayhill, Edward A Grand Island 078522-0W August 12, 2014
Reindl, Frederick J III Stony Brook 213056-5W August 12, 2014
Richter, Jeffrey Albert Slingerlands 112858-6W August 12, 2014
Rivera, Cecilio Rodriguez Ossining 086820-8W August 12, 2014
Robertson, Valerie Jean Old Field 251463-6W August 12, 2014
Rosenberg, Brian Glenn Rochester 258636-0W August 12, 2014
Smith, Robert K Hornell C02876-3W August 12, 2014
Snyder, Arlen Kent Canandaigua 100483-7B August 12, 2014
Stephenson, Thomas Francis Rochester 107591-0W August 12, 2014
Wang, Shih West Hempstead 149936-7W August 12, 2014
Wilkinson, Diane Louise Manhasset 234680-7W August 12, 2014
Wilk-Rivard, Elizabeth New York 210818-1B August 12, 2014
Zoghlin, Leon N Hilton 082344-3W August 12, 2014
Perez-Mesa, Guillermo New York 091277-4W August 12, 2014
Savasatit, Panas Flushing 117851-6W August 12, 2014
Slack, Elizabeth C Sayville C05714-3W August 12, 2014
Swenson, Norman Robert Stamford C00348-5W August 12, 2014
Tobin, Seymour Seaford 073855-9W August 12, 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"

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