Subject Numbers Regarding Health Provider Authorizations
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