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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. 046-745

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

Date: December 15, 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
Achar Bhaskar, Talacauvery Williamsville 116093-6W October 14, 2014
Agarwal, Vishwa N New Hyde Park 124955-6W October 14, 2014
Altman, Aaron David Scarsdale 084207-0W October 14, 2014
Anandarao, Nanarao Staten Island 114946-7W October 14, 2014
Annam, Vidyasagar Dix Hills 123484-8W October 14, 2014
Arshed, Khaleeq U Jackson Heights 126888-7W October 14, 2014
Bdair Fadi, Mohammed Thaer Buffalo 244011-3W October 14, 2014
Bradley, Mahlon A Cortland 260251-4W October 14, 2014
Brennan, Francis Xavier Floral Park 077992-6W October 14, 2014
Coughlin, John H F Jr Troy 049325-4W October 14, 2014
Deitcher, Kenneth Allan Albany 079496-6W October 14, 2014
Desai, Sreenivasa R Vestal 125707-0W October 14, 2014
Dianzon, Wilfrido J Brooklyn 113379-2W October 14, 2014
Duchynski, Michael P Horseheads 243463-7W October 14, 2014
Eviatar, Abraham Scarsdale 103442-0W October 14, 2014
Faust, Robert Roy Jr Albany 098901-2W October 14, 2014
Fruchtman, Bernard Great Neck 084298-9W October 14, 2014
Greenberg, Gerald Martin Roslyn Heights 084195-7W October 14, 2014
Hallett, Richard D Orchard Park C00667-8W October 14, 2014
Hamilton, Winston Vernon Geneva 138139-1W October 14, 2014
Harding, Nicholas Robert Farmingdale 190270-9W October 14, 2014
Hoeger, Carl Jason Buffalo P06425-4B October 14, 2014
Horowitz, Lee M Plainview 125957-1W October 14, 2014
Jaeger, Robert Michael East Islip 211986-5W October 14, 2014
Kazarian, Kirk Krikor Ossining 089653-0W October 14, 2014
Kim, Hyo Soon Floral Park 132283-3W October 14, 2014
Klayman, Kevin H Huntington 234303-6W October 14, 2014
Latessa, Anthony John Fayetteville 094562-6B October 14, 2014
Levy ,Isaac E Fayetteville 128656-6W October 14, 2014
Mintz, Cyrus David New York 259806-8W October 14, 2014
Mukhlis, Hatem J Endwell 164382-4W October 14, 2014
Musiker, Seymour B Stony Brook 088172-2W October 14, 2014
Pacheco, Jose M Binghamton 150983-5B October 14, 2014
Patel, Fatma S Lewiston 122569-7W October 14, 2014
Pierre, Nadja Marie Brooklyn 05623-5W October 14, 2014
Ridgeley, Jamison Rodger Warsaw 230366-7B October 14, 2014
Sadovnik, Noam New York C10883-9B October 14, 2014
Sager, David Allen Jeffersonville C08550-8B October 14, 2014
Sahler, Lawrence Gardner Rochester 182859-9W October 14, 2014
Sciales, William John Flushing 079684-7W October 14, 2014
Shah, Dhiru H Garden City 134920-8W October 14, 2014
Shih, Yin Hung Rhinebeck 128113-8W October 14, 2014
Srinivasan, Ramanatha Nanuet 126695-6W October 14, 2014
Standish, Gerard Thomas Valley Stream C05551-9W October 14, 2014
Sternberg, Lawrence Bernard Victor 104388-4W October 14, 2014
Surapaneni, Krishna Binghamton 251906-4W October 14, 2014
Taylor, Charles Neil Ithaca 091886-2W October 14, 2014
Wallus, Harry J Liverpool 260578-0W October 14, 2014
Wiedl ,Christina Marie Rochester 252108-6W October 14, 2014
Ziviello, Alfred G Setauket 081327-9W October 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"

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