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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. 046-758

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

Date: March 12, 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
Pfeffer, Herbert Hartsdale 100157-7W December 29, 2014
Mandarano, Carmine G. East Islip 150973-6W December 30, 2014
Senat, Eric Brooklyn 173063-9W December 30, 2014
Bazan, Carlos Constante New Hyde Park 086537-8B January 12, 2015
Belkowitz, Martin Jacob Dewitt 113235-6B January 12, 2015
Berkay, Husnu Sinan Roslyn 129100-4W January 12, 2015
Blaugrund, Stanley M. New York 084072-8W January 12, 2015
Carmel, Peter W. New York 090213-0W January 12, 2015
Chen, Siok Ching L. Northport 112781-0W January 12, 2015
Christiana, Gerard Carl Bronxville C09541-6W January 12, 2015
Chung, Connie New York 245899-0W January 12, 2015
Dailey, Thomas Hammond New York 089510-2W January 12, 2015
Dorwitt, Deborah Irene Newburgh 170437-8W January 12, 2015
Doyen, Chelsea Cerise Cicero 266735-0W January 12, 2015
Eng, Young F. Staten Island 089292-7W January 12, 2015
Finn, Marvin L. Syosset C02001-8B January 12, 2015
Francis, Francis Xavier Jr. Eggertsville 086853-9W January 12, 2015
Freeman, Andrew Miller Sayville 175995-0W January 12, 2015
Friedman, Sam L. New City 084541-2W January 12, 2015
Gabriely, Magda Peekskill 236348-9W January 12, 2015
Greeley, Grant Horace Brooklyn 173638-8W January 12, 2015
Harding, John Edward Edicott 080708-1W January 12, 2015
Hickes, Robert George Syracuse 113067-3W January 12, 2015
Hyde, Richard Witherington Rochester 104355-3W January 12, 2015
Israeli, Ilan Jericho 107405-3W January 12, 2015
Jain, Yawantraj P. North Hills 113476-6W January 12, 2015
Jarmolow, Marc Robert Freeport C03257-5W January 12, 2015
Kang, Jae Ryong Melville 120115-1W January 12, 2015
Khan, Madeeha East Corning 266562-8W January 12, 2015
Kumar, Vijaya N. Mount Kisco 111362-0W January 12, 2015
Leblanc, Jude A. Dundee 129760-5W January 12, 2015
Lee, Bowlva M. New York 254979-8W January 12, 2015
Leveque, Eddy Brooklyn 141700-5W January 12, 2015
Llorens, Jose B. Valley Stream 121628-2W January 12, 2015
Loftus, Tayloe Holton Manlius 162291-9W January 12, 2015
Lorah, Jay Arthur Pearl River 206787-4W January 12, 2015
Lustgarten, Leonard Stuart Westhampton Beach 081727-0W January 12, 2015
Lutz, Thomas George Syracuse 114747-9W January 12, 2015
Lyon, Alan Franklin Scarsdale 077435-6W January 12, 2015
Maglione, Paul Louis North Syracuse 081206-5W January 12, 2015
Malfa, John D. Buffalo 086225-0W January 12, 2015
Mathieu, Claude Hollis 096707-5W January 12, 2015
Menotti, Robert A. Clinton 116587-7W January 12, 2015
Mohamed, Iqbal A. Niagara Falls 119982-7W January 12, 2015
Munnich, Kurt Stephen Pittsford C02740-1W January 12, 2015
Nobandegani, Fariborz Kew Gardens 194649-0W January 12, 2015
Payackapan, Wittaya Amityville 121997-1B January 12, 2015
Pillsbury, Helen Marie Mount Kisco 215507-5W January 12, 2015
Plamenco, Pedro Santos Staten Island 105469-1W January 12, 2015
Prentice, Michael James Depew C06425-5B January 12, 2015
Richie, Carl Milton Flushing 135999-1W January 12, 2015
Ruan, Jonathan Vestal 129202-8W January 12, 2015
Sagar, Freny D. Plandone Manor 106294-2W January 12, 2015
Schreiner, Eugene I. Cornwall 110460-3W January 12, 2015
Sese, Linda Q. Brooklyn 112251-4W January 12, 2015
Sivakumaran, Chandrasekara Blauvelt 129685-4W January 12, 2015
Smith, Kristen Marie Syracuse C12082-6W January 12, 2015
Smulyan, Harold Syracuse 082424-3W January 12, 2015
Yoon, Serena Hanee Ithaca 199049-8W January 12, 2015
Yutsis, Pavel Isaakovich Brooklyn 166959-7W January 12, 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"

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