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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. 046-794

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

Date: August 5, 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
Abbas, Nausheen Slingerlands 268882-8W June 8, 2015
Agrawal, Divya New York 244211-9W June 8, 2015
Andersen, Harold Willids Oyster Bay 081078-8W June 8, 2015
Anzalone, Michelangelo Brooklyn C08643-1B June 8, 2015
Azar, Massoud Maroun Plattsburgh 118079-3W June 8, 2015
Baldovin, Donald Anton Brooklyn 148655-4W June 8, 2015
Bennett, Matthew Anthony Getzville 250570-9W June 3, 2015
Brawner, Josephine Aliac Westbury 200303-6W June 8, 2015
Brownstein, Howard Great Neck 089256-2B June 8, 2015
Carfagna, Vincent O Orchard Park 086317-5W June 8, 2015
Cohen, Howard M Poughkeepsie S01053-8W June 8, 2015
Cohen, Neil Jamaica 111218-4W June 8, 2015
Connors-Adler, Ann Webster 158305-3W June 8, 2015
Dayton, Merril Taylor Buffalo 228611-0B June 8, 2015
Delapaz, Robert Louis Dobbs Ferry 187374-4W June 8, 2015
Jimenez, Esther Baldwin C08840-3W June 8, 2015
Finkelstein, Paul New York 047025-2W June 8, 2015
Gardezi, Syed Qalb-E-Abbas Brooklyn 200444-8W June 8, 2015
Goldman, Beth A Clifton Park 238360-2W June 8, 2015
Greenberg, Andrew Steven Saint James 178332-3W June 8, 2015
Grimes, Judy Davis Marietta S11042-9W June 8, 2015
Hoffer, Alexander New Rochelle 095465-1W June 8, 2015
Howell, Ronald D Oswego 262823-8W June 8, 2015
Janof, Richard M New York C04533-8B June 3, 2015
Kim, Johnstone Warsaw 268617-8W June 8, 2015
Kim, Moon Ho Hopewell 130934-3W June 8, 2015
Kimball, Walter Franklin Penneville C10813-6W June 8, 2015
Kuranda, David Trumansburg 163481-5W June 8, 2015
Lemel, Rosalynn Dinah New Hartford 150458-8W June 8, 2015
Mandel, Mark Alex Commack C02058-8B June 8, 2015
McLeod, Michele L Mt. Kisco 197709-9W June 3, 2015
Medina, Cynthia Lynn Saint James 220723-1B June 8, 2015
Medler, Raymond Francis Easthampton 084830-9W June 8, 2015
Moulton, Andrew Wells Briarcliff Manor 223687-5W June 8, 2015
Nadpara, Nishant Ramniklal Florida 249614-9B June 3, 2015
Nyalakonda, Ashok R Williamsville 138358-7W June 8, 2015
Olson, Erik Rochester 268586-5W June 8, 2015
Palmer, Andrew K Syracuse 129906-4B June 8, 2015
Pameijer, Colette Stony Brook 236181-4W June 8, 2015
Parillo, Jack P Buskirk 145074-1W June 8, 2015
Patel, Anil Natvarbhai Buffalo 239005-2B June 8, 2015
Patel, Soham S Plattsburgh 121708-2W June 8, 2015
Phelps, Charles North Tonawanda C12192-3W June 8, 2015
Pinkernell, Bruce Chatham 095220-0W June 8, 2015
Prawak, Pasieka Williamsville 117792-2W June 8, 2015
Prijic, Ronald A Norwich 152346-3W June 8, 2015
Sadaghiani, Hassan Port Jervis 126666-7W June 8, 2015
Schwartzman, Sophia Brooklyn 177659-0W June 8, 2015
Seligman, Isaiah Joel New Rochelle 091027-3W June 8, 2015
Sharma, Mohan Nesconset 209585-9W June 9, 2015
Singh, Gurtej Port Jefferson 253471-7W June 9, 2015
Skogland, Herbert Rome 100598-2W June 9, 2015
Sloan, Edward Bronx S07654-7W June 9, 2015
Stalhamer, Deemah Melville 237068-2W June 9, 2015
Theall, Gary Wayne Warwick 181774-1W June 9, 2015
Uretsky, Scott Lake Success 252916-2B June 9, 2015
Walters, Denny W Nanuet 119542-9W June 9, 2015
Zodiatis, Demetrius Stony Brook 119465-3W June 9, 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