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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. 046-768

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

Date: May 14, 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
Agbo, Osmund Ugochukwu Horseheads 251622-7W March 16, 2015
Allen, Kristy Marie Jacksonville, FL C10774-8W March 16, 2015
Almond, Megan Elizabeth Hansevort 261692-8W March 16, 2015
Atakent, Pinar E. Brooklyn 147037-6B March 16, 2015
Barrios, Johnny Young Spring Glen 111147-5W March 16, 2015
Becker, Joshua A. New York 093723-5W March 16, 2015
Bellon, Lana Tampa, FL 269351-3W March 16, 2015
Bergen Chagnon, Mary Brita Lake Placid 117019-0W March 16, 2015
Bernstein, Peter Samuel Tampa, FL 230597-7W March 16, 2015
Brothman, Melvin M. Amhurst 082923-4B March 16, 2015
Burday, Stanford Zane Pittsford 090708-9W March 16, 2015
Burrows, Frederick Arthur Hamilton, Canada, ONT 222927-6W March 17, 2015
Chandy, Sunil Alexander Bronx 261989-8W March 17, 2015
Chung-Hussain, Helen K. Owego 254806-3W March 16, 2015
Compas, Jean C. Brooklyn 141141-2W March 24, 2015
Cooling, David Sabastian Stony Brook 174053-9W March 16, 2015
Cottrell, Jeffrey Ryan Tampa, FL 269198-8W March 16, 2015
Daniels, Marshall Nelson Brooklyn 084149-4W March 16, 2015
Das, Akhil K. Bryn Mawr, PA 212121-8W March 16, 2015
Decicco, John L. Seneca Falls C03326-6W March 16, 2015
Desagun, Guillermo E. Oceanside 117429-1W March 16, 2015
Elliott, Michalene Ann Rochester C08543-3B March 16, 2015
Farcy, Jean-Pierre Claude Peirmont 156776-7W March 17, 2015
Farrell, Gault Macalister Morrisonville 213607-5W March 17, 2015
Francis, Andrew J. Stony Brook 174601-5W March 17, 2015
Freeman, Sumner Lester New York 083335-0W March 17, 2015
Gazzo, Frank Joseph Thousand Oaks, CA 078169-0B March 17, 2015
Goldstone, Jonas Melvin New York 085319-2W March 17, 2015
Gundel, Jeffrey Christopher Wilton 201261-5W March 24, 2015
Hellinger, Kurt Andrew Carmel C06170-7W March 17, 2015
Hoogs, Kenneth Everett Syracuse 108021-7B March 17, 2015
Jamal, Nasiruddin M.K. Johnson City 123352-7W March 17, 2015
Jameson, Gerardus S. Schenectady 084511-5W March 17, 2015
Johnpulle, Romany Anne Nilanthi Franklin 269223-4W March 17, 2015
Kane, Philip Barry Stony Brook 101444-8W March 17, 2015
Kaza, Sarita Bethesda, MD 231184-3W March 17, 2015
Knox, John Bronx C09814-7B March 17, 2015
Laragh, John H. New York 049985-5W March 17, 2015
Laufer, Ira Jerome New York 075475-4W March 17, 2015
Lee, Frank C. Victorville, CA 246943-5W March 17, 2015
Lockwood, Howard Forest Hills 046635-9W March 17, 2015
Macdermott, Richard Pratt Albany 215592-7W March 17, 2015
Mc Carthy, Joseph Gerald New York 098980-6W March 17, 2015
Mims, Timothy Thomas Austin, TX 231723-8B March 17, 2015
Nam, Sang Chul Queensbury 111686-2W March 17, 2015
O'koniewski, Robert Francis Albany 090225-4W March 17, 2015
Patel, Dipen Krushnakant McKinney, TX 256256-9I March 17, 2015
Perez, Humberto Madeira Beach, FL 189678-6W March 17, 2015
Plantilla, Eduardo R. Brooklyn 121728-0W March 17, 2015
Randolph, David Tampa, FL 269412-3W March 16, 2015
Richard, Shambavi Das Jersey City, NJ 200928-0W March 17, 2015
Robbins, Robert Thomas Staten Island C11269-0W March 17, 2015
Santa-Ines, Carlos Parcutela Norwich 123289-1W March 17, 2015
Scheer, Justin Millbrook 074467-2W March 17, 2015
Seco, Guillermo M. Staten Island 093338-2W March 17, 2015
Shah, Sapna Ramesh South Orange, NJ 216230-3I March 17, 2015
Shemirani, Mehdi Rochester 100500-8W March 17, 2015
Sills, Stephen Joel Diamond Point 090817-8B March 17, 2015
Singh, Rajpaul Hollis 212722-3B March 24, 2015
Sorokoff, Sheldon A. Hastings On Hudson 079610-2W March 17, 2015
Stefano, Robert Thomas Garden City 077264-0W March 17, 2015
Steinbach, Andrew Maxwell Bainbridge 157764-2W March 17, 2015
Taylor, Robert Russell III Binghamton 176429-9W March 17, 2015
Urman, Simon Gregory Brooklyn 216120-6W March 24, 2015
Yehling, Hilary Anne Rochester 261538-3W March 17, 2015
Zuckerman, Frederick New York 081797-3W March 17, 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