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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. 046-757

Newly Authorized Health Care Providers Approved to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: March 12, 2015

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
Esch, Andrea Toufexis Anesthesiology Williamsville 277873-6W February 23, 2015
Ingoglia, Michael Thomas Anesthesiology Rensselaer 262870-9W February 25, 2015
Joseph, Samantha Amie Anesthesiology Rosedale 277293-7W February 25, 2015
Grover, Michael James Anesthesiology, Pain Management Corning 274555-2W February 19, 2015
Mcaleer, Patricia Anne Dermatology Mt. Kisco 209140-3I February 20, 2015
Deyer, Timothy William Diagnostic Radiology New York 226291-3W February 24, 2015
Gao, Yiming Diagnostic Radiology Garden City 273952-2W February 25, 2015
Lee, Nicole Nakyung Diagnostic Radiology New York 242553-6W February 24, 2015
Modi, Jignesh M Diagnostic Radiology Cornwall 268013-0W February 24, 2015
Watson, A. Nina Diagnostic Radiology Garden City 263404-6W February 25, 2015
Baccellieri, Angelo Emergency Medicine Pelham Manor 201058-5B February 24, 2015
Colombo, Paul Emergency Medicine Dobbs Ferry 259819-1W February 11, 2015
Czarnecki, Stanley John Emergency Medicine Norwich 169803-4B February 24, 2015
Hanlon, Kim Emergency Medicine Olean 277000-6W February 11, 2015
Kleinmaier, Matthew Charles Emergency Medicine Cooperstown 276894-3W February 20, 2015
Pastula, Leonard Thomas Ii Emergency Medicine Old Brookville 215143-9W February 25, 2015
Ranoewidjojo, Budiarto Emergency Medicine New York 253948-4W February 19, 2015
Shih, David Yu-Chin Emergency Medicine Westbury 235061-9W February 19, 2015
Bechan-Dugan, Cathleen Lynda Family Practice Yonkers 272387-2W February 19, 2015
Campbell, Lorne Richard Sr. Family Practice Johnson City 164798-1W February 26, 2015
Carlson, Joshua Edward Family Practice Clifton Park 276179-9W February 19, 2015
Cooney, James Thomas Family Practice Seaford 277387-7W February 25, 2015
Garcia, Zurbriggen Andrea Belen Family Practice Hamilton 276487-6W February 25, 2015
Gaysynsky, July Family Practice Valley Stream 240804-5W February 25, 2015
Kafa, Ammar Family Practice Massena 270868-3W February 20, 2015
Khan, Najmul Hasan Family Practice Williamsville 267792-0W February 23, 2015
King, Stella O. Family Practice Pittsford 257810-2W February 23, 2015
Kless, Kevin Alexander Family Practice Rochester 276459-5W February 24, 2015
Klinkman, Erin Lynn Family Practice Endicott 274589-1W February 19, 2015
Lalley-Demong, Vanessa Family Practice Central Sq. 275026-3W February 11, 2015
Salim, Suhail Mohammed Family Practice New Hyde Park 263684-3W February 25, 2015
Ungar, Heidi Elizabeth Family Practice New York 272864-0W February 24, 2015
Weaver, Daniel Craig Family Practice West Winfield 277059-2W February 19, 2015
Kahn, Oren Gastroenterology Mt. Kisco 186930-4B February 19, 2015
Mcgowan, Laura Ann Internal Medicine Williamsville 274523-0W February 23, 2015
Mutic, Mario Internal Medicine New Rochelle 257090-1W February 20, 2015
Nejati, Golali Internal Medicine Brooklyn 254652-1W February 11, 2015
Reagan, Brian Francis Internal Medicine Cooperstown 175603-0W February 20, 2015
Troitino, Anthony Internal Medicine Troy 162591-2W February 24, 2015
Volovoy, Vitaly Internal Medicine Jamaica 205549-9W February 11, 2015
Antecol, David H. Internal Medicine, Cardiovascular Disease Watertown 209056-1B February 11, 2015
Nair, Smitha Gopinath Internal Medicine, Critical Care Medicine, Pulmonary Diseases Purchase 277008-9W February 20, 2015
Shvets, Lyudmila Internal Medicine, Endocrinology, Diabetes And Metabolism Brooklyn 277889-2W February 20, 2015
Ozden, Nuri Internal Medicine, Gastroenterology Syracuse 255095-2W February 24, 2015
Camargo, Maria Jose Falotico Internal Medicine, Geriatric Medicine, Hospice And Palliative Medicine Cooperstown 204029-3W February 24, 2015
Christensen, Diana Internal Medicine, Infectious Diseases Massena 254435-1W February 20, 2015
Cohen, Anders Jonathan Neurological Surgery Brooklyn 217215-3B February 26, 2015
Qureshi, Shahnawaz Hussain Neurological Surgery Big Flats 277020-4W February 13, 2015
Radley, Michael Gerald Neurological Surgery Hagerstown 181864-0I February 27, 2015
Reddy, Varun Venkatesh Neurology Johnson City 276970-1W February 20, 2015
Liva, Jeffrey Scott Occupational Medicine Staten Island 205179-5B February 12, 2015
Sadati, Sheler Occupational Medicine Rochester 250130-2W February 10, 2015
Bromberg, Beth Shapiro Ophthalmology Rye 164082-0W February 19, 2015
Mattern, Ruth Marie Ophthalmology Buffalo 182871-4W February 23, 2015
Ackerman, George Peter Orthopedic Surgery Garden City 263256-0W February 25, 2015
Cally, Donald James Orthopedic Surgery Syracuse 181387-2B February 24, 2015
Chen, Darwin D. Orthopedic Surgery New York 248092-9W February 24, 2015
Pompo, Frank Joseph Orthopedic Surgery Cortland 277234-1W February 20, 2015
Tomaino, Matthew Michael Orthopedic Surgery, Hand Surgery Rochester 171436-9W February 27, 2015
Chater, Michael George Otolaryngology Potsdam 276048-6W February 20, 2015
O’brien, Brendan M. Otolaryngology Rochester 273735-1W February 23, 2015
Leblanc, Kerri Kathleen Pediatrics Cooperstown 277067-5W February 20, 2015
Wilson, Lekeyah Nicole Pediatrics Rochester 257072-9W February 17, 2015
Oommen, Bobby Michael Physical Medicine/Rehabilitation Plattsburgh 270078-9W February 27, 2015
Fontecha, Hernandez Jeisson Fer Psychiatry Stony Brook 277689-6W February 20, 2015
Dipierro, Charles Gian Public Health & General Preventive Medicine Stony Brook 264574-5B February 20, 2015
Liebling, Anne Rheumatology Rhinebeck 191581-8B February 19, 2015
Armstrong, Robert Steven Surgery West Seneca 274206-2W February 23, 2015
Gonzalez, Lorena Surgery Syracuse 275512-2W February 20, 2015
Hatzoudis, Georgios Ioannis Surgery Elmira 261793-4W February 25, 2015
Stanger, Jennifer Dawn Surgery Syracuse 277238-2W February 24, 2015

*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"

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

 

Robert E. Beloten
Chair