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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. 046-749

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

Date: January 28, 2015

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
Allen, Eugene Mt Vernon 079747-2B November 13, 2014
Awan, Rina Nazir Stony Brook 258742-6B November 13, 2014
Baird, Nnemdi A Delmar 260673-9W November 13, 2014
Bellinfante, Bruno New York 084676-6W November 13, 2014
Cohen, Max Roslyn Heights 048369-3W November 13, 2014
Dait, Marianne Elmira 206695-9W November 13, 2014
Daliana, Maurizio New York 095422-2W November 13, 2014
Davies, Joshua William Jr Cold Spring 090809-5W November 13, 2014
Davila, Felix White Plains 110467-8W October 30, 2014
Delvalle, Nicholas H New York 077008-1W November 13, 2014
Dianto, Nicholas L Staten Island C02366-5B November 13, 2014
Doornick, Jean-Claude Harrison C09425-2W November 13, 2014
Dudelzak, Boris Woodmere 221486-4W November 13, 2014
Fallon, Brian Andrew Bellmore P05952-8B November 13, 2014
Feldman, B Robert New York 087042-8W November 13, 2014
Gershon, Howard Walter Belle Harbor 081230-5W November 13, 2014
Giannettino, Joseph Edward Le Roy C11179-1B November 13, 2014
Gicewicz, Edmond Joseph Buffalo 079450-3B November 13, 2014
Goodman, Mark Lloyd Syracuse 140828-5B November 13, 2014
Grandal, Jessica Ruth Kings Park C05178-1B November 13, 2014
Graney, Michael John Rochester 109331-9B November 13, 2014
Grange, Carmen Hermena New York 093935-5W November 13, 2014
Hackett, Erika J Webster C11694-9B November 13, 2014
Heller, Eugene Melville 085272-3W November 13, 2014
Ho, Frederick Syracuse 097508-6W November 13, 2014
Huddle, Timothy John Elmira 146425-4W November 13, 2014
Larppanichpoonphol, Panupong Rochester 260132-6W November 13, 2014
Lee, Frank Ungman Huntington Station 099618-1W November 13, 2014
Lieberman, Ronald Michael New York 230634-8B November 13, 2014
Mandler, Otto Jamaica 087278-8W November 13, 2014
Manglapus, Daniel P Rome 119597-3W November 13, 2014
Matos, Jose Euripides Yonkers 122156-3W November 13, 2014
Moran, Frank Theodore Syracuse 070624-2W November 13, 2014
Phillips, Philip L Mamaroneck 132836-8W November 13, 2014
Pillai, Shreejith Divakaran Rochester L04048-5W November 13, 2014
Propp, Richard Paul Albany 087720-9W November 13, 2014
Prusaczyk, Henryk Niskayuna 194956-9W November 13, 2014
Robert, John Peter Olean 170205-9W November 13, 2014
Rosier, Randy Nathan Rochester 159011-6W November 13, 2014
Rothschild, Mark A Camillus 168843-1B November 13, 2014
Rubins, Walter Henry Port Washington 080975-6B November 13, 2014
Sales, Benigno Flushing 119359-8W November 13, 2014
Sanghvi, Jasu Indravadan New York 108326-0W November 13, 2014
Satloff, Aaron Pittsford 086408-2B November 17, 2014
Sheehan, Thomas Patrick Grand Island 105456-8W November 13, 2014
Sood, Lonika Rochester L04045-1W November 13, 2014
Stevens, Richard Crosby Binghamton 075722-9W November 13, 2014
Weihs, John Stephen New York 170831-2W November 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"

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