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Subject Number 046-826 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

November 4, 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
Aranas, Ninevah R. Latham 121327-1W August 11, 2015
Ardao, Albert D. New London 165617-2W August 11, 2015
Arrigo, John C. Suffern 093866-2W August 11, 2015
Bagheri, Shahla Cary 143778-9W August 11, 2015
Berman, David Port Washington 080251-2W August 11, 2015
Bogner, Thomas B. West Amherst 192000-8W August 11, 2015
Bottone, Anthony C. Glen Cove 082989-5W August 11, 2015
Bradley, Scott Minoa 269629-2W August 11, 2015
Brimberg, Arthur D. Poughkeepsie 089718-1B August 11, 2015
Boohoff, Alla Cedarhurst 223039-9B August 11, 2015
Bruno, Michael S. New York 045876-0W August 11, 2015
Chen, Ying-Jen Clifton Park 161966-7W August 11, 2015
Ching, Steven S.T. Rochester 124034-0W August 11, 2015
Consiglio, Michael A. Hewlett 101727-6B August 11, 2015
Deb, Sanjay K. Williamsville 111235-8W August 11, 2015
Dimitris, Kristen M. Liverpool 269543-5W August 11, 2015
Dubiel, Julianne M. Syracuse 191023-1W August 11, 2015
Das, G. Baldev Rhinebeck 111233-3W August 11, 2015
Elliott, Charles F. Fayetteville 084010-8W August 11, 2015
Eswarathasan, Sathiya Levittown P05968-4W August 11, 2015
Fagen, Sheldon G. Smithtown 096746-3W August 11, 2015
Fisher, Johanna C. Huntington Sta 084585-9W August 11, 2015
Frederick, William C. Staten Island 077767-2W August 11, 2015
Fusco, Joseph J. Hillsdale 080905-3W August 11, 2015
Gahles, Nancy Belle Harbor C02406-9W August 11, 2015
Ghatan, Habibollah Roslyn 113427-9W August 11, 2015
Girt, Janis A. Marcellus C08861-9W August 11, 2015
Goldberg, Ivan K. New York 084589-1W August 11, 2015
Gonoud, Kenneth P. Bronx C05767-1W August 11, 2015
Gonzalez, Jose A. Center Moriches C08699-3W August 11, 2015
Gottlieb, Martin O. North Merrick 147430-3W August 11, 2015
Grimes, Andrew M. Garden City 127671-6W August 11, 2015
Hanner, James S. Tampa 271855-9B August 11, 2015
Harrison, Dean J. Granville C04113-9B August 11, 2015
Hayes, Patrick J. Cortland 140707-1W August 11, 2015
Hiester, Karen L. Endwell 229742-2W August 11, 2015
Hong, Tae Y. West New York C08755-3W August 11, 2015
Iberdemaj, Rame D. Madera 244781-1W August 11, 2015
Isenberg, Arthur N. Saratoga Springs 091717-9W August 11, 2015
Jadhav, Avinash L. Flushing 226682-3W August 11, 2015
Janik, Richard J. Lihue 145456-0W August 11, 2015
Johnson, Robert E. Albany 124102-5W August 11, 2015
Joseph, Danette J. Mechanicsburg 253049-1W August 11, 2015
Kantha, Kalasa R. New Rochelle 104947-7W August 11, 2015
Kaplan, Gabriela D. Lakewood 134472-0W August 11, 2015
Kaplowitz, Arthur J. New York 155067-2W August 12, 2015
Khan, Maidul I. Batavia 111950-2W August 12, 2015
Korsh, Jeffrey I. Mineola 156739-5W August 12, 2015
Koshy, Thomas A. Kingston 145850-4W August 12, 2015
Kroch, Daniel A. Rochester 269505-4W August 12, 2015
Laha, Ranjit K. Jamestown 135790-4B August 12, 2015
Lathan, William E. Ardsley 093771-4W August 12, 2015
Lee, Jae S. Grand Island 130958-2W August 12, 2015
Lieberman, Ruth Albany 113976-5W August 12, 2015
Lingenfelter, Kenneth J. Rochester 269479-2W August 12, 2015
Liu, Wellington Y. New York 127427-3W August 12, 2015
Luna Vega, Alberto R. New York 171809-7B August 12, 2015
La Punzina, Charles T. Forest Hills 079770-4W August 17, 2015
Macy, Neil J. Bronx 138553-3B August 12, 2015
Manrique, Julio Elmhurst 105862-7W August 12, 2015
Markason, Charles R. Utica 080650-5W August 12, 2015
Markou, Evangelos N. Queens Village C12170-9W August 12, 2015
Martin, Eric C. Sarasota 126090-0W August 12, 2015
Martinez, David G. Binghamton 202331-5W August 12, 2015
Matusow, Gene R. Bedford 090831-9W August 12, 2015
Palatnik, Mikhail Sacramento 214374-1B August 12, 2015
Perestam, John I. Endicott C00947-4W August 12, 2015
Perry, Bradley S. Oceanside P03788-8W August 12, 2015
Pezzulli, Fred A. New York 087300-0W August 12, 2015
Picovsky, Baruj M. Great Neck 160131-9W August 12, 2015
Piller, Wieslaw R. Endwell 131167-9W August 12, 2015
Plassche, Walter M. Hornell 131329-5W August 12, 2015
Plotnick, Eugene Oro Valley S09005-0W August 12, 2015
Prendergast, Nancy C. East Brunswick 173801-2W August 12, 2015
Ratner, Michael H. Syracuse 104311-6W August 12, 2015
Reinhart, Scott C. Syracuse 165986-1W August 12, 2015
Richter, Henry S. Rochester 104037-7W August 12, 2015
Righi, Susan P. Marshfield 141025-7W August 12, 2015
Roche, Patricia J. Garden City 157586-9W August 12, 2015
Rose, Richard H. Pt Jefferson Sta 152168-1W August 12, 2015
Rosen, Melvin New York 090062-1W August 12, 2015
Rosenzweig, Mark S. Pittsford 128741-6W August 12, 2015
Rozenfeld, Izabella Bayside 236010-5B August 12, 2015
Rubino, Dominic J. Brooklyn C09840-2W August 12, 2015
Ryzoff, Ronald I. Long Beach 086960-2W August 12, 2015
Sable, David L. Plattsburgh 183447-2W August 12, 2015
Sanandaji, Mehrdad Tuxedo Park 103304-2W August 12, 2015
Sasto, Ralph Great Neck 134583-4W August 12, 2015
Saviuk ,Walter V. Port Orange C02868-0W August 12, 2015
Schonberger, Elise R. Tucson 162041-8W August 12, 2015
Schwartz, A. David West Nyack 045167-4W August 12, 2015
Shaheen, George A. Fayetteville 085964-5W August 12, 2015
Shallow, Vincent S. San Marcos 123271-9W August 12, 2015
Slater, Iris R. New York 088180-5B August 12, 2015
Sokol, Levi O. Flushing 255552-2W August 12, 2015
Sue, Hong S. Flushing 121842-9W August 12, 2015
Sung, Melissa R. Purchase 247000-3W August 12, 2015
Szymula, Norbert J. Niagara Falls 124226-2W August 12, 2015
Tennant, Corina D. Brooklyn 269575-7W August 12, 2015
Voytenko, Constantine Brooklyn C08974-0W August 6, 2015
Walker, Peter F.R. Melville 127837-3W August 12, 2015
Weinstein, Clement Flushing 073449-1W August 13, 2015
Wolchonok, Michael Wellesley Hills 134066-0W August 13, 2015
Work, Dana F. Pittsford 247924-4W August 13, 2015
Yvars, Alexander M. Gloversville 086765-5B August 13, 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