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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. 046-782

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

Date: 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