Subject Numbers Regarding Health Provider Authorizations
October 7, 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 |
|---|---|---|---|---|
| Cimic, Adela | Anatomic Pathology | Stony Brook | 275567-6W | September 8, 2015 |
| Schwartz, Charles Frederick | Anatomic Pathology, Clinical Pathology | Amsterdam | 204655-5I | September 24, 2015 |
| Akkerman, Albert Z. | Anesthesiology | Dunkirk | 236688-8W | September 21, 2015 |
| Arekapudi, Anil Kumar | Anesthesiology | Rochester | 278917-0W | September 21, 2015 |
| Binder, Michael | Anesthesiology | New York | 233664-2W | September 25, 2015 |
| Gordon, Michael Elijah Jr. | Anesthesiology | Carthage | 243854-7W | September 22, 2015 |
| Hanono, Daniel Moshe | Anesthesiology | Brooklyn | 258518-0W | September 2, 2015 |
| Hassan, Mahmoud Abdalla Ahmed | Anesthesiology | Buffalo | 277111-1W | September 18, 2015 |
| Khan, Ahmed Raza | Anesthesiology | Rochester | 186875-1W | September 18, 2015 |
| Lu, Charlie Chenggang | Anesthesiology | Rochester | 278202-7W | September 18, 2015 |
| Mikhail, Ashraf | Anesthesiology | Flushing | 249789-9W | September 21, 2015 |
| Umholtz, Matthew James | Anesthesiology | Buffalo | 280775-8W | September 21, 2015 |
| Weinshel, Sarah Michal | Anesthesiology | Mount Kisco | 167405-0I | September 2, 2015 |
| Wong, Jan R. | Anesthesiology | Syracuse | 264585-1W | September 16, 2015 |
| Lee, Robert Edward | Anesthesiology, Pain Management | Buffalo | 269293-7W | September 21, 2015 |
| Iyer, Sriram Sadasivan | Cardiovascular | New York | 207886-3B | September 24, 2015 |
| Lozeau, Daniel F. | Dermatology, Pathology - Dermatopathology | Stony Brook | 263574-6W | September 8, 2015 |
| Annese, Christian Pasquale | Diagnostic Radiology | New York | 275196-4W | September 25, 2015 |
| Gupta, Sanjay Kumar | Diagnostic Radiology | New York | 227969-3W | September 10, 2015 |
| Iseman, Christine Marie | Diagnostic Radiology | Albany | 256406-0B | September 24, 2015 |
| Komissarova, Maria | Diagnostic Radiology | Albany | 274687-3B | September 24, 2015 |
| Maitland, Ceceleta Yvonne | Diagnostic Radiology | Latham | 193936-2W | September 29, 2015 |
| Patel, Priyesh | Diagnostic Radiology | Brooklyn | 278785-1B | September 16, 2015 |
| Tabone, Michael Frank | Diagnostic Radiology | Williamsville | 279668-8W | September 21, 2015 |
| Mingos, Mark Allen | Diagnostic Radiology, Nuclear Radiology | Corning | 279343-8W | September 25, 2015 |
| Glick, Scott Michael | Emergency Medicine | Ithaca | 269561-7W | September 16, 2015 |
| Goldenberg, William D. | Emergency Medicine | Stony Brook | 253213-3W | September 8, 2015 |
| Miao, Katharine Hsin | Emergency Medicine | White Plains | 234900-9W | September 2, 2015 |
| Otterness, Karalynn | Emergency Medicine | Stony Brook | 271990-4W | September 8, 2015 |
| Passanante, Joseph Anthony | Emergency Medicine | Brooklyn | 273206-3W | September 16, 2015 |
| Spiegel, Rory J. | Emergency Medicine | Stony Brook | 280512-5W | September 24, 2015 |
| Cameron, Christine Anne | Family Practice | Buffalo | 276847-1W | September 18, 2015 |
| Cerklewich, Nicole Brianna | Family Practice | Champlain | 272368-2W | September 16, 2015 |
| Flores, Zoila Z. | Family Practice | Hempstead | 258387-0W | September 25, 2015 |
| Gift, Laura Elizabeth | Family Practice | Penfield | 275094-1W | September 23, 2015 |
| Heim, Jacqueline Marie | Family Practice | Buffalo | 275424-0W | September 21, 2015 |
| Jain, Akshat | Family Practice | Watertown | 280426-8W | September 25, 2015 |
| Owen, Ira Davis | Family Practice | New York | 275049-5W | September 25, 2015 |
| Panini, Aruna S. | Family Practice | Rock Hill | 280543-0B | September 10, 2015 |
| Patel, Surag Suresh | Family Practice | Rochester | 274797-0W | September 24, 2015 |
| Skyers, Princess | Family Practice | New York | 257162-8W | September 25, 2015 |
| Teves, Michelle Andre | Family Practice | Ithaca | 271156-2W | September 17, 2015 |
| Bonilla, Trejos Eduardo | Internal Medicine | Syracuse | 280340-1W | September 16, 2015 |
| Garneau, John J., Jr. | Internal Medicine | Pittsford | 174390-5W | September 10, 2015 |
| Hameed, Mazin Majeed | Internal Medicine | Rochester | 273454-9W | September 18, 2015 |
| He, Jie | Internal Medicine | Watertown | 277762-1W | September 8, 2015 |
| Jain, Eera | Internal Medicine | Stony Brook | 280323-7W | September 8, 2015 |
| Khan, Shahida Akhter | Internal Medicine | Woodside | 209073-6W | September 16, 2015 |
| Mani, Egesta | Internal Medicine | Briarcliff Manor | 250339-9W | September 21, 2015 |
| Mezu, Ngozi Catherine | Internal Medicine | Cortland | 277390-1W | September 24, 2015 |
| Nat, Amitpal Singh | Internal Medicine | Syracuse | 280151-2W | September 2, 2015 |
| Petkovich, Bradley William | Internal Medicine | Rochester | 274682-4W | September 4, 2015 |
| Saleem, Sheikh Abdul Salam | Internal Medicine | Cooperstown | 280710-5W | September 25, 2015 |
| Schamel, Shannon Shea | Internal Medicine | Watkins Glen | 275728-4B | September 16, 2015 |
| Suter, Zachary David | Internal Medicine | Rochester | 278430-4W | September 25, 2015 |
| Manheimer, Eric David | Internal Medicine, Cardiovascular Disease | Middletown | 257983-7B | September 2, 2015 |
| Marino, Brian Scott | Internal Medicine, Cardiovascular Disease | Ithaca | 271050-7W | September 8, 2015 |
| Parikh, Puja Bipin | Internal Medicine, Cardiovascular Disease, Interventional Cardiology | Stony Brook | 253318-0W | September 8, 2015 |
| Arif, Muhammad Osman | Internal Medicine, Geriatric Medicine | Syracuse | 278465-0W | September 16, 2015 |
| Eisenberg, Spencer M. | Internal Medicine, Geriatric Medicine | Johnson City | 271528-2W | September 16, 2015 |
| Arnold, Florence | Internal Medicine, Hematology, Medical Oncology | Watertown | 278825-5W | September 29, 2015 |
| Salman, Huda | Internal Medicine, Hematology, Medical Oncology | Stony Brook | 280386-4B | September 8, 2015 |
| Branche, Angela Ramona | Internal Medicine, Infectious Diseases | Rochester | 267782-1W | September 11, 2015 |
| Neumann, Henry Jonathan | Internal Medicine, Infectious Diseases | Stony Brook | 281000-0W | September 8, 2015 |
| Babayeva, Natela | Internal Medicine, Pediatrics | New York | 237865-1W | September 25, 2015 |
| Diefenbach, William Paul | Neurological Surgery | Erie | 162170-5I | September 25, 2015 |
| Kinon, Merritt Drew | Neurological Surgery | Bronx | 253201-8W | September 10, 2015 |
| Ahmed, Omar F. | Neurology | New York | 240578-5W | September 21, 2015 |
| Dennis, Lyle James | Neurology | Suffern | 205562-2W | September 21, 2015 |
| Malkani, Brijesh | Neurology | Yonkers | 260515-2B | September 14, 2015 |
| Masoud, Hesham Elmiselhy | Neurology | Syracuse | 280838-4W | September 29, 2015 |
| Berg, Michel Justus | Neurology, Clinical Neurophysiology | Rochester | 165979-6W | September 24, 2015 |
| Bernbaum Melissa L. | Neurology, Clinical Neurophysiology | Islip | 242531-2W | September 2, 2015 |
| Ahmed, Fatima | Ophthalmology | Slingerlands | 279117-6W | September 10, 2015 |
| Chaudhary, Khurram Mahmood | Ophthalmology | Stony Brook | 258035-5B | September 24, 2015 |
| Marcus, Edward | Ophthalmology | Great Neck | 255287-5W | September 8, 2015 |
| Balkissoon, Rishi | Orthopedic Surgery | Rochester | 280557-0W | September 18, 2015 |
| Bruneau, Pierre Andre | Orthopedic Surgery | Brewster | 245411-4B | September 21, 2015 |
| Glaser, Jordan Michael | Orthopedic Surgery | Albany | 273705-4W | September 17, 2015 |
| Insel, Aaron Noah | Orthopedic Surgery | Harrison | 274535-4W | September 11, 2015 |
| Saleh, Ahmed | Orthopedic Surgery | Rochester | 279136-6W | September 18, 2015 |
| Scordino, Laura Weiss | Orthopedic Surgery | Albany | 280376-5W | September 10, 2015 |
| Stanton, Michael Christopher | Orthopedic Surgery | Rochester | 273247-7W | September 8, 2015 |
| Stein, Matthew Isaac | Orthopedic Surgery | Albany | 278524-4W | September 28, 2015 |
| Tayrose, Gregory Abram | Orthopedic Surgery | Potsdam | 262166-2W | September 2, 2015 |
| Van Gorder, Robert Thomas | Orthopedic Surgery | Johnson City | 281306-1W | September 25, 2015 |
| Hadi, Joseph Mehrdad | Physical Medicine/Rehabilitation | Brooklyn | 270398-1W | September 16, 2015 |
| Qureshi, Adnan Anwer | Physical Medicine/Rehabilitation | Yonkers | 277493-3B | September 25, 2015 |
| Riolo, Thomas Antonio | Physical Medicine/Rehabilitation | Forest Hills | 274398-7W | September 29, 2015 |
| Lago, Jesus Angel | Psychiatry, Addiction Psychiatry | Purchase | 182355-8B | September 11, 2015 |
| Popivker, Zoya | Psychiatry, Child Psychiatry | Stony Brook | 263231-3W | September 24, 2015 |
| Chang, Michael Chia Hsiu | Radiology - Diagnostic Radiology | Liverpool | 279202-6W | September 2, 2015 |
| Kaufman, Theodor Irving | Surgery | Cooperstown | 198863-3W | September 17, 2015 |
| Kim, Joseph | Surgery | Stony Brook | 280363-3B | September 8, 2015 |
| Nitzkorski, James Ryan | Surgery | Poughkeepsie | 238729-8W | September 10, 2015 |
| Qi, Yanjie | Surgery | Rochester | 251347-1W | September 10, 2015 |
| Rubano, Jerry A. | Surgery | Stony Brook | 261957-5W | September 29, 2015 |
| Tan-Tam, Clara Chia-Hua | Surgery | Cooperstown | 278741-4W | September 25, 2015 |
| Sikalas, Nicholas | Surgery, General Vascular Surgery | Stony Brook | 270038-3B | September 16, 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