Subject Numbers Regarding Health Provider Authorizations
September 8, 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 |
|---|---|---|---|---|
| Panesar, Narendra Kaur | Anatomic Pathology, Clinical Pathology, Blood Banking/Transfusion Medicine | Johnson City | 178014-7W | August 13, 2015 |
| Barkulis, Charles Theodore Jr | Anesthesiology | Melville | 279872-6W | August 18, 2015 |
| Cohen, Shimon L | Anesthesiology | Mount Kisco | 266251-8W | August 19, 2015 |
| Hong, Genewoo Joseph | Anesthesiology | New York | 279772-8W | August 27, 2015 |
| Lebow, Brandon Ford | Anesthesiology | Rochester | 279379-2W | August 13, 2015 |
| Liu, Kaixuan | Anesthesiology | Livingston | 220538-3W | August 6, 2015 |
| Popa, Vincentiu | Anesthesiology | Valley Stream | 228490-9W | August 18, 2015 |
| Rozen, Elizabeth Karen | Anesthesiology | White Plains | 171475-7I | August 20, 2015 |
| Webber, Audra Meredith | Anesthesiology | Rochester | 279129-1W | August 13, 2015 |
| Cohen, Jason Ronald | Anesthesiology, Pain Management | Princeton | 244220-0B | August 13, 2015 |
| Gupta, Nakul | Anesthesiology, Pain Management | Staten Island | 263983-9W | August 18, 2015 |
| Pampana, Vijay Shanker | Child Neurology | Hawthorne | 277865-2W | August 20, 2015 |
| Canoy, James Michael | Diagnostic Radiology | Kingston | 270267-8W | August 4, 2015 |
| Crowley, Andrea Q | Diagnostic Radiology | Sherman | 228288-7W | August 19, 2015 |
| Wallis, Shain Sullivan | Diagnostic Radiology | Manlius | 264957-2W | August 4, 2015 |
| Mcguire, Paul Vincent | Diagnostic Radiology, Neuroradiology | Sharon | 201508-9W | August 19, 2015 |
| Lim, James H | Diagnostic Radiology, Nuclear Medicine | Kingston | 255485-5W | August 4, 2015 |
| Beirne, Brian Francis | Emergency Medicine | Lindenhurst | 200030-5W | August 20, 2015 |
| Brosnan, Michelle L | Emergency Medicine | Uniondale | 239494-8W | August 18, 2015 |
| Falanga, Nicole Durie | Emergency Medicine | New York | 267374-7W | August 27, 2015 |
| Field, Lauren J Prusnofsky | Emergency Medicine | Johnson City | 279937-7W | August 13, 2015 |
| Lai, Nga Quynh | Emergency Medicine | New York | 266072-8W | August 27, 2015 |
| Peterson, Lars-Kristofer Nelson | Emergency Medicine | Rochester | 271039-0W | August 13, 2015 |
| Vahedi, Mithaq | Emergency Medicine | Johnson City | 277593-0W | August 13, 2015 |
| Buttar, Kamalpreet Singh | Family Practice | Stony Brook | 278467-6B | August 19, 2015 |
| Ferger, Jessica L | Family Practice | Penfield | 277009-7W | August 13, 2015 |
| Filipski, Alexander William | Family Practice | Baldwinsville | 275831-6W | August 24, 2015 |
| Hasan, Aaresh | Family Practice | Levittown | 250854-7W | August 18, 2015 |
| Heetderks, Gerrit William | Family Practice | Trumansburg | 279852-8W | August 13, 2015 |
| Kelley, Kristen Lea | Family Practice | Greenwich | 280120-7W | August 10, 2015 |
| Lampert, Heather Shannon | Family Practice | Massapequa Park | 279789-2W | August 18, 2015 |
| Lavender, Rebecca Tyson | Family Practice | Rochester | 266403-5W | August 13, 2015 |
| Qamar, Wafa | Family Practice | New Hartford | 279270-3W | August 18, 2015 |
| Rattenbury, Heather Thu | Family Practice | Binghamton | 272759-2W | August 13, 2015 |
| Rezk, Ahmed Mohamed | Family Practice | New Hartford | 279589-6W | August 18, 2015 |
| Yun, David Kin | Family Practice | Flushing | 266396-1B | August 13, 2015 |
| Amundson, William Hoyt | Internal Medicine | Rochester | 274228-6W | August 13, 2015 |
| Baumgart, Megan Ann | Internal Medicine | Rochester | 274906-7W | August 19, 2015 |
| Bruni, Oreste Joseph | Internal Medicine | Woodbury | 180551-4W | August 18, 2015 |
| Demarest, Susan Peng | Internal Medicine | Schenectady | 277624-3W | August 27, 2015 |
| Desain, Mary Carpenter | Internal Medicine | Rochester | 276864-6W | August 13, 2015 |
| Dodd, Katherine Susan | Internal Medicine | Rochester | 274063-7W | August 13, 2015 |
| Hodges, Mark Hayden | Internal Medicine | Rochester | 276422-3W | August 13, 2015 |
| Kessler, Jennifer Ann | Internal Medicine | Rochester | 277364-6W | August 13, 2015 |
| Manocha, Divey | Internal Medicine | Syracuse | 278820-6W | August 4, 2015 |
| Pompo, Rebecca Anne | Internal Medicine | Cortland | 278200-1W | August 13, 2015 |
| Seif, Emily Kay | Internal Medicine | Rochester | 279546-6W | August 13, 2015 |
| Shaw, James G | Internal Medicine | Rochester | 280414-4W | August 13, 2015 |
| Sivapiragasam, Abirami | Internal Medicine | Syracuse | 278238-1W | August 4, 2015 |
| Williamson, Zachary Joshua | Internal Medicine | Syracuse | 278166-4W | August 4, 2015 |
| Zittel, Jason George | Internal Medicine | Rochester | 278929-5W | August 13, 2015 |
| Magid, Norman Mark | Internal Medicine, Cardiovascular | New York | 152751-4B | August 13, 2015 |
| Singh, Avneet | Internal Medicine, Cardiovascular Disease | Syracuse | 278631-7W | August 4, 2015 |
| Moustakakis, Emmanuel Nectarios | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Flushing | 230890-6I | August 10, 2015 |
| Bello, Osagie | Internal Medicine, Hematology, Medical Oncology | Watertown | 279503-7W | August 13, 2015 |
| Marcos, Raymundo Luis Augusto | Internal Medicine, Infectious Disease | Stony Brook | 280039-9B | August 6, 2015 |
| Chandra, Rashmi | Internal Medicine, Nephrology | Vestal | 280808-7W | August 13, 2015 |
| Gobran, Emad Nabil | Internal Medicine, Nephrology | Staten Island | 272829-3W | August 25, 2015 |
| Gavin, Michael Joseph | Internal Medicine, Pediatrics | Rochester | 273591-8W | August 13, 2015 |
| Rizzone, Katherine Helen | Internal Medicine, Pediatrics | Rochester | 279199-4W | August 13, 2015 |
| Tolentino, Jonathan Lee | Internal Medicine, Pediatrics | Stony Brook | 278979-0W | August 6, 2015 |
| Aiello, Brianne Marie Corcoran | Internal Medicine, Pulmonary Disease | Syracuse | 278755-4W | August 4, 2015 |
| Sagalla, Rex W B | Internal Medicine, Pulmonary Disease | Stony Brook | 279854-4W | August 19, 2015 |
| Yao, Qingping | Internal Medicine, Rheumatology | Stony Brook | 280624-8B | August 6, 2015 |
| Bag, Ozbek Ayse | Internal Medicine, Rheumatology, Pediatrics | Stony Brook | 267937-1B | August 6, 2015 |
| Motivala, Soriaya Lizette | Neurological Surgery | New York | 275732-6W | August 24, 2015 |
| Cullen, John Daniel | Neurology | Rochester | 279385-9W | August 13, 2015 |
| Dolgovina, Maria | Neurology | Forest Hills | 261794-2B | August 10, 2015 |
| Shah, Shital P | Neurology | West Nyack | 278975-8B | August 6, 2015 |
| Sharar, Kristin Lynette | Obstetrics/Gynecology | East Setauket | 279445-1W | August 6, 2015 |
| Herrera, Kimberly Mercedes | Obstetrics/Gynecology, Maternal/Fetal Medicine | Stony Brook | 264026-6W | August 13, 2015 |
| Boraiah, Sreevathsa | Orthopedic Surgery | Great Neck | 271604-1W | August 18, 2015 |
| Hochfelder, Jason Patrick | Orthopedic Surgery | Hawthorne | 269059-2W | August 13, 2015 |
| Judd, Kyle Thomas | Orthopedic Surgery | Rochester | 278850-3W | August 13, 2015 |
| Olsen, Joshua Russell | Orthopedic Surgery | Canandaigua | 279664-7W | August 13, 2015 |
| Quirno, Martin | Orthopedic Surgery | New York | 273057-0W | August 27, 2015 |
| Toro, Jose B | Orthopedic Surgery | Riverhead | 270879-0W | August 18, 2015 |
| Vora, Vagmin Pravin | Orthopedic Surgery | Brooklyn | 275951-2W | August 5, 2015 |
| Jakubowicz, David Matthew | Otolaryngology | Bronx | 229808-1W | August 24, 2015 |
| Matott, Heather Melissa | Pediatrics | Latham | 279477-4W | August 24, 2015 |
| Kountis, Vasilios | Physical Medicine/Rehabilitation | Minneapolis | 276937-0W | August 24, 2015 |
| Smith, Miranda Boone | Physical Medicine/Rehabilitation | East Meadow | 278947-7W | August 18, 2015 |
| Stoly, Yura | Physical Medicine/Rehabilitation | Brooklyn | 275763-1W | August 6, 2015 |
| Morrison, Clinton Strauss | Plastic Surgery | Rochester | 274610-5W | August 6, 2015 |
| Cooper, Scott L | Podiatry | Brooklyn | P06205-0W | August 13, 2015 |
| Einhorn, Robert | Podiatry | Mineola | P06284-5I | August 13, 2015 |
| Eisenberger, Eliezer | Podiatry | New York | P06432-0B | August 13, 2015 |
| Eisenstein, Jack | Podiatry | Woodbury | P02938-0W | August 12, 2015 |
| Hune, Andrew Gordon | Podiatry | Albany | P06702-6W | August 13, 2015 |
| Lundi, Ricardo Reggy | Podiatry | Cooperstown | P06552-5W | August 13, 2015 |
| Majdanski, Waldemar | Podiatry | Brooklyn | P06577-2W | August 13, 2015 |
| Melendez, Rolando Mario | Podiatry | Flushing | P06581-4B | August 13, 2015 |
| Relation, Kurt Wendell | Podiatry | Latham | P06697-8B | August 13, 2015 |
| Rosena, Willis Anthony | Podiatry | North Tonawanda | P06696-0W | August 13, 2015 |
| Samandarov, Albert | Podiatry | Astoria | P06526-9W | August 13, 2015 |
| Wilson, Breeann N | Podiatry | Buffalo | P06328-0W | August 13, 2015 |
| Allen, Shawn Michael | Psychiatry | Stony Brook | 265692-4W | August 6, 2015 |
| Madden, Timothy Francis | Radiology - Diagnostic Radiology | Kingston | 279192-9W | August 4, 2015 |
| Parisien, Christine J | Radiology - Diagnostic Radiology | Latham | 228852-0W | August 24, 2015 |
| Westpfal, Matthew Mark | Radiology - Diagnostic Radiology | Baltimore | 278422-1W | August 24, 2015 |
| Weyer, Allison | Radiology - Diagnostic Radiology | Williamsville | 280948-1W | August 24, 2015 |
| Bryden, Daniel Adam | Surgery | Watertown | 277947-8W | August 26, 2015 |
| Nagaraj, Sharita | Surgery | Latham | 280908-5W | August 31, 2015 |
| Sherburne, Alan Charles | Surgery | Auburn | 278778-6W | August 13, 2015 |
| Axelrad, Alexander | Surgery, Surgical Critical Care | Mineola | 170647-2W | August 18, 2015 |
| Hagendorf, Benjamin Ari | Surgery, Surgical Critical Care | Mineola | 276096-5W | August 18, 2015 |
| Arnone, Eric David | Urology | Jamestown | 278216-7W | August 24, 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"
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair