Subject Numbers Regarding Health Provider Authorizations
January 15, 2016
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 |
|---|---|---|---|
| Agrwal, Shyam N. | Hopewell Junction | 107201-6W | November 12, 2015 |
| Apel, Peter J. | Corning | 271489-7W | November 12, 2015 |
| Baeza, Dager J. M. | New York | 265733-6W | November 12, 2015 |
| Bao, Philip Quy-Trung | Stony Brook | 254509-3W | November 12, 2015 |
| Bedrosian, Levon | Delmar | 047525-1W | November 12, 2015 |
| Bersani, Frank A. | Skaneateles | 070673-9W | November 12, 2015 |
| Brown, Eric R. | Peekskill | S06214-1B | November 12, 2015 |
| Burton, Jamey A. | Williamsburg | 255513-4W | November 12, 2015 |
| Bush, Harry L. | New York | 103649-0W | November 12, 2015 |
| Cameron, Yoteen M. | Buffalo | 154964-1W | November 12, 2015 |
| Cappelleri, Dominic | Warwick | 113179-6W | November 12, 2015 |
| Carlson, Richard A. | Depew | 078147-6W | November 12, 2015 |
| Cooper, Howard N. | New York | 070266-2W | November 12, 2015 |
| Creta, Michael | Ronkonkoma | 187384-3W | November 12, 2015 |
| Daccardi, John L. | Stony Point | C01721-2W | November 12, 2015 |
| Danielski, Edward F. | Cooperstown | 087089-9W | November 12, 2015 |
| Deconti,Ronald C. | Tampa | 155795-8W | November 12, 2015 |
| Eliazo, Ethelwoldo E. | Suffern | 130797-4W | November 13, 2015 |
| Fisher, Cynthia B. | Mountain Top | 218535-3W | November 13, 2015 |
| Fitzgerald, John R. | Rochester | 072291-8W | November 13, 2015 |
| Foley, John S. | Yorktown Heights | C10916-7B | November 13, 2015 |
| Garman, Matthew J. | Oswego | 271467-3W | November 13, 2015 |
| Goswami, Amit | New York | 256512-5W | November 13, 2015 |
| Gutierrez, Angel | Buffalo | 109891-2W | November 13, 2015 |
| Haffner, Steven T. | E Patchogue | C04151-9W | November 13, 2015 |
| Hillinger, Stephen M. | Delmar | 131299-0W | November 13, 2015 |
| Hobbs, Christopher G. | Shirley | C12197-2W | November 13, 2015 |
| Horn, Mark A. | Hamburg | C02209-7W | November 13, 2015 |
| Horowitz, Lawrence | Lawrence | 079261-4W | November 13, 2015 |
| Hughes, James | New York | 101221-0B | November 13, 2015 |
| Hwang, Freeman R. | Binghamton | 246526-8B | November 13, 2015 |
| Iliev, Peter B. | Valhalla | 254809-7W | November 13, 2015 |
| Jernow, Herbert I. | Armonk | 097928-6W | November 13, 2015 |
| Kagan, Avir | Brooklyn | 079865-2W | November 13, 2015 |
| Kasendorf, Roger A. | Long Beach | 239449-2W | November 13, 2015 |
| Kassel, Barry A. | Pound Ridge | 122115-9W | November 13, 2015 |
| Katz, Herman J. | Stony Brook | 262741-2W | November 13, 2015 |
| Kim, Calvin | New York | 229917-0W | November 13, 2015 |
| Kolin, Elizabeth A. | Glendale | S03279-7W | November 13, 2015 |
| Kolker, Harvey A. | Palm Beach Gardens | 104625-9W | November 13, 2015 |
| Krebs, Thorsten L. | Danbury | 166617-1W | November 2, 2015 |
| Kushner, Roger S. | Lewiston | 087050-1W | November 13, 2015 |
| Laczkowski, William M. | Clarence | C09567-1W | November 13, 2015 |
| Lee, Eugene S. | New York | C10764-1B | November 13, 2015 |
| Levine, Samuel N. | Elmira | 043146-0W | November 13, 2015 |
| Liebergall, Gordon S. | Suffern | 084611-3W | November 13, 2015 |
| Likhite, Fern C. | Plattsburgh | 095844-7W | November 13, 2015 |
| Lindsay, Gaius K. | Scottsdale | 117639-5W | November 13, 2015 |
| Lovelace, James M. | Christianburg | 198974-8W | November 13, 2015 |
| Macher, Amy N. | Syracuse | 271634-8W | November 13, 2015 |
| Mecca, Michael A. | Las Vegas | 232098-4W | November 2, 2015 |
| Mian, Ijaz A. | Williamsville | 117680-9W | November 13, 2015 |
| Mintzer, Steven A. | Melville | 090496-1W | November 13, 2015 |
| Mitzman, George M. | Mineola | C05848-9W | November 13, 2015 |
| Osterer, Don | Mountain View | 154493-1W | November 13, 2015 |
| Palmer, Edward | Bronx | 095537-7W | November 13, 2015 |
| Parghi, Ajay H. | Kings Park | 195685-3W | November 13, 2015 |
| Parrino, G. Richard | Briarcliff Manor | 091855-7W | November 13, 2015 |
| Pearson, Carl T. | Jamestown | C04747-4W | November 13, 2015 |
| Petrizzo, Christopher V. | Whitestone | C06619-3W | November 13, 2015 |
| Reingold, Marvin | Melville | 091032-3W | November 13, 2015 |
| Rosenthal, Steve | Monroe Twp | C02192-5W | November 13, 2015 |
| Rubins, Jonathan | Honeoye | 116073-8W | November 13, 2015 |
| Sachs, John R. | New York | 087059-2W | November 13, 2015 |
| Saldana-Ferretti, Beatriz | Melville | 224576-9W | November 13, 2015 |
| Sarrai, Mona | Croton On Hudson | 238371-9B | November 30, 2015 |
| Scandalis, Thomas A. | Northport | 175161-9W | November 13, 2015 |
| Shoen, Timothy I. | Saratoga Springs | 165944-0W | November 13, 2015 |
| Smith II, H. Merton | Akron | P01817-7W | November 13, 2015 |
| Sousa, Elizabeth N. | Pleasantville | 168321-8W | November 13, 2015 |
| Stahl, Peter R. | Webster | 106640-6W | November 13, 2015 |
| Sturiano, Victor T. | New York | S05476-7W | November 13, 2015 |
| Subbareddy, Madireddy | Old Westbury | 112106-0W | November 13, 2015 |
| Thakur, Nikhil A. | East Syracuse | 265768-2W | November 13, 2015 |
| Waite, Cleon S. G. | Palm Bay | C08871-8W | November 16, 2015 |
| Weinberger, Wilbur | Woodmere | P02003-3W | November 13, 2015 |
| Weigand, Laura G. | Hopewell | 164398-0B | November 13, 2015 |
| Woodard, Elizabeth D. | Rochester | 104718-2W | November 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