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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. 046-827

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

Date: 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
Appel, Evan H. Dix Hills C07873-5B September 15, 2015
Bhat, Dinesh J. Belmont 137704-3W September 15, 2015
Bianculli, Charles R. Lindenhurst C02480-4B September 15, 2015
Bonsack, Timothy A. Tampa 272267-6B September 15, 2015
Burte, Jan M. Bellerose S07727-1W September 15, 2015
Cai, Patricia Brooklyn C08929-4W September 15, 2015
Candocia, Alexander J. Chicago C08289-3B September 15, 2015
Chiariello, Mario Brooklyn 145387-7W September 15, 2015
Cocozzo, Jeffrey J. Fort Lauderdale 176166-7W September 15, 2015
Cohen, Clifford Brooklyn 046977-5B September 15, 2015
Costanzo, George P. Quitman 146891-7W September 15, 2015
Coulehan, John L. Coram 184975-1B September 15, 2015
Crawford, Jim D. Teaneck S06582-1W September 15, 2015
Dmochowski, Thaddeus J. Rochester 123719-7W September 15, 2015
Dolan, James R. Auburn 175870-5W September 15, 2015
Drew, Simon P. Bennington 190788-0W September 15, 2015
Dubov, Igal Howell C09886-5W September 15, 2015
Dudrak II, Richard A. Lakeland 189979-8W September 15, 2015
Duran, Hilcias Houston 257198-2W September 15, 2015
Edelstein, Richard Orangeburg 082562-0W September 15, 2015
Eder, Brian C. Travis Afb C09071-4W September 15, 2015
Eibl, Ingeborg E. Rochester C02367-3W September 15, 2015
Faradyan, Sam M. West Palm Beach 247648-9B September 15, 2015
Fine, James H. Bronxville 085780-5W September 15, 2015
Flaherty, Allison L. Rochester 270375-9W September 15, 2015
Forgash, Stuart L. New York C01529-9B September 15, 2015
Fried, Alan R. Livingston Manor 077566-8W September 15, 2015
Gandhi, Jyoti R. Elmhurst 110797-8W September 15, 2015
Godlewski-Conway, Jennifer M. North Syracuse C11328-4W September 15, 2015
Goldberg, Richard S. New York 138246-4W September 15, 2015
Goodman, Robert B. Great Neck 074458-1W September 15, 2015
Grosswirth, Lawrence R. Garden City C02647-8B September 15, 2015
Grunert, Harold F. Rochester 099136-4W September 15, 2015
Gudas, Frank R. Elmira 111880-1W September 15, 2015
Hafner, Carol J. Adams C09979-8W September 15, 2015
Haggerty, James T. Brockport 086144-3W September 15, 2015
Hamilton, Maryann G. Shelburne S04209-3B September 15, 2015
Harshfield, David L. Little Rock 248394-9W September 15, 2015
Hastanan, Sansern Yonkers 115833-6W September 15, 2015
Hayes, David F. Orchard Park 123841-9W September 15, 2015
Heitzman, George C. Fayetteville 072035-9W September 15, 2015
Hemmerlein, John P. East Syracuse 097359-4W September 15, 2015
Hoffman, Ira R. New York 080118-3W September 15, 2015
Hogben, George L. Rye 092231-0W September 15, 2015
Homs, Carlos J. Edison 186619-3W September 15, 2015
Hwang, Chung S. Exeter 126508-1W September 15, 2015
Ianucelli, Vicki New York S05647-3W September 15, 2015
Itenberg, Alexander Merrimack 159389-6W September 15, 2015
Klein, Robert F. Rochester 104611-9W September 15, 2015
Koshy, Indira Syracuse 125420-0W September 15, 2015
Kurzman, David Delray Beach S07328-8W September 15, 2015
Lawson, Beverly A. Saratoga S07999-6W September 15, 2015
Leeds, Gary New York 148835-2W September 15, 2015
Lindell, Brad J. Ronkonkoma S09882-2B September 15, 2015
Linwood, Richard A. Rockville Centre 085213-7B September 15, 2015
Littman, Ralph M. Monsey C00216-4B September 15, 2015
Lu, Min J. South Setauket 218566-8B September 15, 2015
Markowitz, Allan S. Yorktown Heights 124446-6W September 15, 2015
Martin, James W. South Salem C01790-7B September 15, 2015
Mauser, Donald I. Wantagh 088110-2W September 15, 2015
Moldover, Jonathan R. Northampton 127205-3W September 15, 2015
Neffinger, George G. Upper Nyack S04493-3B September 15, 2015
Nussbaum, Morton Belleharbor C00927-6B September 15, 2015
Orioli, Victor S. Southold 083822-7W September 16, 2015
Perlmutter, Allan P. Bronx C01935-8W September 16, 2015
Platt, Christine C. Rochester 160134-3W September 16, 2015
Plotkin, David Highland Beach 071659-7W September 16, 2015
Poiesz, Michael J. Syracuse 248042-4W September 16, 2015
Polatschek, Donald P. Hicksville C02264-2W September 16, 2015
Rho, Soon M. Brooklyn 125249-3W September 16, 2015
Robbins, David B. Highland Beach 086234-2B September 16, 2015
Ronch, Judah L. Edgewater S05742-2W September 16, 2015
Rosner, Richard New York 099320-4B September 16, 2015
Samala, Rafaelita B. Manhasset 141778-1W September 16, 2015
Satchi, Ananthan Staten Island 127033-9W September 16, 2015
Sauter, Wesley Welslley Island 079553-4W September 16, 2015
Schrier, Robert M. Delray Beach 080060-7W September 16, 2015
Schwartz, Mordecai Brentwood 078660-8W September 16, 2015
Sheikh, Farhan M. Slingerlands 123272-7W September 16, 2015
Sheth, Sneha M. Manorville 262031-8W September 16, 2015
Silverberg, Joseph D. Rochester 092599-0B September 16, 2015
Slutsky, Lawrence J. Wichita 116433-4W September 16, 2015
Snyder, Richard D. Westfield 084085-0W September 16, 2015
Squilla, Vincent D. New Rochelle 073809-6W September 16, 2015
Steinbach, Sheldon H. New York 104170-6W September 16, 2015
Turner, Particia Y. Pensacola 248372-5W September 16, 2015
Vallarino, Ramon Manhasset 126947-1W September 16, 2015
Walker, Charles D. Syosset 101942-1W September 16, 2015
Weber, Niva Z. Eastchester 119620-3W September 16, 2015
White, Richard T. Bath 181463-1W September 16, 2015
Zanzi, Italo Manhasset 144636-8W 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"

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