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Subject Number 046-782 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

July 1, 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
Danielsson, Jennifer Anesthesiology New York 254552-3W May 19, 2015
De, Arup Anesthesiology Delmar 246563-1B May 20, 2015
Lo, Sansan Shelley Anesthesiology New York 235525-3W May 19, 2015
Lynch, Lisa Renee Anesthesiology New York 245615-0W May 19, 2015
Pagano, Parwane Parsa Anesthesiology New York 247525-9W May 19, 2015
Yocum, Gene Thomas Anesthesiology New York 268706-9W May 19, 2015
Chen, Martin Anesthesiology, Critical Care Medicine New York 263733-8W May 19, 2015
Darrah, Daniela Marie Anesthesiology, Critical Care Medicine New York 249973-9W May 19, 2015
Kiamanesh, David Ashkan Anesthesiology, Critical Care Medicine New York 271459-0W May 19, 2015
Mulaikal, Teresa Anita Anesthesiology, Critical Care Medicine New York 252618-4W May 19, 2015
Panzer, Oliver Peter-Friedrich Anesthesiology, Critical Care Medicine New York 269562-5W May 19, 2015
Do, Ouro Rodrigues Suelane Sous Anesthesiology, Pain Management New York 226227-7B May 19, 2015
Bland, Ryan Scott Chiropractic New York C12541-1W May 13, 2015
Coster, Richard Donald Chiropractic Orchard Park C12348-1W May 13, 2015
Debe, Anthony Harry Chiropractic Mastic C12502-3W May 14, 2015
Denero, Robert Michael Chiropractic Rochester C12556-9B May 14, 2015
Ellis, Mick Chiropractic East Aurora C12390-3W May 14, 2015
Evans, Raymond Corey Chiropractic Williamsville C12647-6W May 14, 2015
Fleming, Allison Meaghan Chiropractic Rochester C12602-1W May 13, 2015
Gelber, Scott C Chiropractic Plainview C11654-3W May 14, 2015
Grodin, Elizabeth Renee Chiropractic Forest Hills C12589-0W May 14, 2015
Honor, Jennifer Lee Chiropractic Bayside C12497-6W May 14, 2015
Jabaji, Yazan Rajai Chiropractic Niagara Falls C12495-0B May 14, 2015
Jarrett-Thelwell, Fiona Chiropractic Seneca Falls C11566-9B May 14, 2015
Lam, Ivan Chiropractic New York C12540-3W May 14, 2015
Ludwig, Ryan Michael Chiropractic Rochester C12610-4W May 18, 2015
Matty, Michael John Chiropractic Ctr Moriches C12452-1I May 14, 2015
Mcleod, Adrienne Dayle Chiropractic Staten Island C12108-9W May 14, 2015
Michael, Jonathan Chiropractic Rockville Centre C11832-5W May 13, 2015
Michalski, Francis James Chiropractic Williamsville C12623-7W May 14, 2015
Oldroyd, Melissa Ann Chiropractic Owego C12524-7W May 14, 2015
Park, Samue Chungworn Chiropractic Elmont C09870-9W May 14, 2015
Petersen, Claire Barbara Chiropractic Cicero C12355-6B May 14, 2015
Rodnick, Alexander Henry Chiropractic Elmsford C12593-2W May 14, 2015
Romeo, Jamel Kurtlan Chiropractic Brooklyn C12404-2B May 14, 2015
Severson, Larissa Lynn Chiropractic Bath C12526-2W May 14, 2015
Cohen, Laurence Sean Diagnostic Radiology Brooklyn 217600-6W May 15, 2015
Muthiah, Annamalai Jr Diagnostic Radiology Liverpool 210812-4W May 15, 2015
Ray, Jennifer Kam Diagnostic Radiology Orchard Park 231784-0W May 4, 2015
Urban, Nancy Dorothy Diagnostic Radiology Brooklyn 208360-8W May 15, 2015
Lum, Waiho Emergency Medicine Forest Hills 202905-6B May 19, 2015
Korn, Robert S Emergency Medicine, Pediatrics Dix Hills 218974-4W May 19, 2015
Gupta, Neha Family Practice Cobleskill 276105-4W May 5, 2015
Parent, Colleen Elizabeth Family Practice Morrisville 256078-7B May 6, 2015
Stoughton, James Elliott Family Practice Johnson City 245822-2W May 6, 2015
Bottiglieri, Thomas S Family Practice, Sports Medicine Staten Island 237430-4B May 8, 2015
Ding, Yongzeng Internal Medicine Stony Brook 265413-5W May 6, 2015
Nguyen, Nina Thi Internal Medicine Brooklyn 259169-1W May 14, 2015
Morkevicius, Matas Internal Medicine, Critical Care Medicine, Pulmonary Diseases Hamilton 261074-9B May 6, 2015
Dimopoulos, Vassilios Georgios Neurological Surgery Amherst 277247-3W May 4, 2015
Raval, Ami B Neurological Surgery Staten Island 267265-7W May 19, 2015
Smith, Arien Javon Neurological Surgery Bronx 238180-4W May 8, 2015
Maltese, Todd Joseph Neurology Coram 265409-3W May 4, 2015
Babalola, Ebenezer Olufemi Obstetrics/Gynecology Stony Brook 277987-4B May 6, 2015
Kaelber, Arlene Emily Obstetrics/Gynecology Stony Brook 172918-5W May 6, 2015
Lerman, Vadim Orthopedic Surgery Brooklyn 256328-6W May 7, 2015
Mangion, Jeremy Eric Orthopedic Surgery Fishkill 276704-4W May 5, 2015
Papadonikolakis, Anastasios Orthopedic Surgery Rego Park 278501-2W May 19, 2015
Rawlins, Bernard Alexander Orthopedic Surgery New York 175025-6W May 19, 2015
Renzoni, Steven Alex Orthopedic Surgery Airmont 212885-8B May 4, 2015
Kumar, Kishore Pediatrics Massena 277200-2W May 4, 2015
Da Silva, Annette Christina Physical Medicine/Rehabilitation New York 209768-1B May 20, 2015
Prilik, Sofiya Physical Medicine/Rehabilitation New York 239234-8W May 19, 2015
Coba, Miguel Antonio Physical Medicine/Rehabilitation, Spinal Cord Injury Medicine Astoria 278190-4W May 13, 2015
Abernathie, Brenon Lee Plastic Surgery Purchase 268851-3W May 19, 2015
Brass, Tara Lynn Psychiatry Scarsdale 228766-2B May 5, 2015
Baker, Kevin Scott Radiology - Diagnostic Radiology Stony Brook 277475-0W May 6, 2015
Shah, Samit Naresh Radiology - Diagnostic Radiology Latham 278721-6W May 20, 2015
Yoon, Hannah Radiology - Radiological Oncology Coram 274986-9W May 7, 2015
Glocker, Roan Jamison Surgery Rochester 274719-4W May 14, 2015
Doyle, Adam Joseph Griffin Surgery - General Vascular Surgery Rochester 274433-2W May 14, 2015
Cipollone, Maria Surgery, Plastic Surgery Huntington 238327-1W May 14, 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"


The following doctors have been added to the list of Impartial Specialists eligible for appointment in specific cases by the Board.

NAME SPECIALTY AREA OF PRACTICE CITY OF PRACTICE LICENSE NUMBER EFFECTIVE DATE END DATE
Rubin, Edward Samuel Anesthesiology, Pain Management Lake Success 235004 May 22, 2015 May 22, 2020
Szeinuk, Jaime Occupational Medicine Saint James 203721 May 20, 2015 May 20, 2020

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

Robert E. Beloten
Chair