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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. 046-844

Newly Authorized Health Care Providers Approved to
Render Services to Injured Workers
Under the Workers' Compensation Law

Date: Marck 23, 2016

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
Endres, Paul James Anatomic Pathology, Clinical Pathology, Family Practice Quogue 224631-2B  February 11, 2016
Shemmeri, Nida Anatomic Pathology, Clinical Pathology Elmira 251862-9B  February 10, 2016
Grecu, Loreta Anesthesiology, Critical Care Medicine Stony Brook 282770-7W  February 19, 2016
Mevorach, David Lawrence Anesthesiology, Pain Management Honeoye Falls 170758-7B  February 5, 2016
Quansah, Araba Buabema Anesthesiology Port Jefferson 255627-2W  February 17, 2016
Rashid, Saima Anesthesiology New York 276420-7W  February 9, 2016
Patel-Pulipati, Pina Child Neurology, Clinical Neurophysiology Medford 266254-2W  February 19, 2016
Balseca, Jose Roberto Chiropractic Pittsford C12597-3B  February 17, 2016
Benz, James Norman Chiropractic Mamaroneck C12204-6W  February 17, 2016
Childress, Cody Lee Chiropractic Dewitt C12698-9W  February 17, 2016
Creamer, James F Chiropractic Syosset C02491-1W  February 17, 2016
Detullio, Melissa Ann Chiropractic Hopewell Junction C12273-1W  February 17, 2016
Forestal, Marie Anne Chiropractic Rego Park C12650-0W  February 17, 2016
Gordon, Curtis Manley Chiropractic Niagara Falls C12185-7W  February 17, 2016
Julewicz, Denny Alex Chiropractic Staten Island C10570-2B  February 17, 2016
Kaminsky, Alex Chiropractic Woodmere C09678-6B  February 17, 2016
Kiaei, Ashley Chiropractic Roslyn Hts C12223-6B  February 17, 2016
Kowalyk, Teon Steven Chiropractic Ontario C11472-0B  February 17, 2016
Locascio, Joseph A Chiropractic Ryebrook C02461-4W  February 17, 2016
Lyons, Chelsea Elizabeth Chiropractic Williamsville C12769-8W  February 17, 2016
Muhammad, Safeya Saad Chiropractic Williamsville C12773-0W  February 17, 2016
Ouderkirk, Katie June Chiropractic Redfield C12649-2W  February 17, 2016
Raymondi, Katerine Medelly Chiropractic Jamaica C12537-9W  February 17, 2016
Shadi, Aby Chiropractic Woodhaven C09682-8W  February 17, 2016
Snyder, Craig J Chiropractic Staten Island C08716-5B  February 17, 2016
Pietrantoni, Celestino Critical Care Medicine, Pulmonary Diseases Williamsville 223235-3W  February 19, 2016
Goodman, Mark P Dermatology, Internal Medicine Fishkill 151135-1B  February 12, 2016
Amirbekian, Smbat Diagnostic Radiology Albany 279150-7B  February 8, 2016
Corse, Kenneth J Ii Diagnostic Radiology Utica 248381-6W  February 8, 2016
Geannette, Christian Sander Diagnostic Radiology, Nuclear Medicine New York 255229-7W  February 5, 2016
Hussain, Shahid Mahmood Diagnostic Radiology Stony Brook 282417-5W  February 19, 2016
Mcosker, Jennifer Linh Diagnostic Radiology Albany 274571-9B  February 8, 2016
Nael, Kambiz Diagnostic Radiology, Neuroradiology New York 280711-3W  February 17, 2016
Rudd, Steven Alan Diagnostic Radiology Utica 211843-8W  February 5, 2016
Walled, Douglas Diagnostic Radiology Albany 265496-0B  February 8, 2016
Blaufeux, Brian Alan Emergency Medicine Yorktown Heights 211488-2B  February 11, 2016
Khan, Faiz Emergency Medicine Lake Grove 211517-8W  February 12, 2016
Mallon, William Kinney Jr Emergency Medicine Stony Brook 282233-6W  February 11, 2016
Dulkin, Oleg Family Practice Utica 236618-5W  February 8, 2016
Singh, Raena Gurparam Family Practice Buffalo 281638-7B  February 19, 2016
Yun, Joanna Family Practice Cortland 280611-5W  February 19, 2016
Avashia, Kuntal Dinesh Internal Medicine Olean 271639-7W  February 5, 2016
Aversa, Alphonse Rocco Internal Medicine Mt Kisco 137745-6B  February 8, 2016
Brauning, Mark Gunther Internal Medicine Mount Kisco 244532-8B  February 8, 2016
Efferen, Linda S Internal Medicine, Critical Care Medicine, Pulmonary Diseases, Hospice And Palliative Medicine Dix Hills 156065-5W  February 19, 2016
Giovannone, Steven Frank Internal Medicine, Cardiovascular Disease Niskayuna 254803-0I  February 11, 2016
Larusso, Melissa Lucy Internal Medicine, Rheumatology Staten Island 256622-2W  February 24, 2016
Lobo, David Thomas Francis Internal Medicine Corning 280245-2W  February 12, 2016
Madiraju, Srinivas Satish Kumar Internal Medicine, Cardiovascular Disease, Interventional Cardiology Ossining 278314-0I February 11, 2016
Meador, Robert Joseph Internal Medicine, Rheumatology, Geriatic Medicine, Hospice And Palliative Medicine Ithaca 281859-9W  February 16, 2016
Nguyen, Don Internal Medicine Stony Brook 280393-0W  February 24, 2016
Perwaiz, Muhammad Khurram Internal Medicine, Critical Care Medicine, Pulmonary Diseases Stony Brook 265040-6W  February 11, 2016
Ramanathan, Deepak Internal Medicine Jamaica 273668-4W  February 12, 2016
Roy, Shewli Internal Medicine Yorktown Hts 272354-2B  February 11, 2016
Sharma, Adity Internal Medicine Brooklyn 278991-5W  February 12, 2016
Wells, Brian Allen Internal Medicine Patchogue 282158-5W  February 11, 2016
Zhao Aiyu Internal Medicine, Nephrology Auburn 275387-9W  February 12, 2016
Hawkins, Andrew Stewart Nuclear Medicine, Diagnostic Radiology Albany 278751-3B  February 22, 2016
Hunt, Brian James Obstetrics/Gynecology Stony Brook 271119-0W  February 11, 2016
Butler, Sheila Louise Occupational Medicine, Public Health & General Preventive Medicine Corning 192608-8B  February 12, 2016
Rothschild, Jordana B Occupational Medicine, Public Health & General Preventive Medicine St James 262466-6B  February 5, 2016
Fitz, Eric William Ophthalmology Mount Kisco 236241-6B  February 12, 2016
Swan, Robert Thomas Ophthalmology Syracuse 263215-6W  February 17, 2016
Helgeson, Melvin Dennis Orthopedic Surgery Auburn 279775-1W  February 24, 2016
Isaac, Roman Orthopedic Surgery New York 275010-7W  February 2, 2016
Leyh, Brian Patrick Orthopedic Surgery Cooperstown 272361-7W  February 2, 2016
Scott, Kevin Lamont Orthopedic Surgery Carthage 218994-2B  February 22, 2016
Simela, Ashley Thabani Orthopedic Surgery Bronx 254533-3W  February 17, 2016
Vigdorchik, Jonathan Matthew Orthopedic Surgery New York 264537-2W  February 24, 2016
Slaughter, Keimun Aloysius Otolaryngology Latham 279519-3W  February 22, 2016
Jacobs, Lyssa Sorkin Physical Medicine/Rehabilitation New Paltz 259905-8W  February 12, 2016
Dracea, Cristina Plastic Surgery East Setauket 262328-8W  February 12, 2016
Carey-Shaw, Barbara Ann Psychology Brookhaven S12537-7W  February 9, 2016
Cooper-Festa, Ellen Jill Psychology Grahamsville S16678-5W  February 16, 2016
Datta, Mala Psychology Suffern S12711-8W  February 16, 2016
Domingo, Roxanne Marie Psychology Brooklyn S16367-5B  February 9, 2016
Goldberg, Michael Ross Psychology Kew Gardens S20798-5W  February 9, 2016
Haddad, Peter J Psychology New York S18219-6W  February 16, 2016
Joseph, Miriam Dinah Psychology New York S20309-1W  February 16, 2016
Kim, Julia M Psychology Pelham S17014-2W  February 9, 2016
Kramer, Alexis Joann Psychology Staten Island S21150-8W  February 16, 2016
Levine, Stephen Walter Psychology Pomona S10214-5W  February 16, 2016
Lippman, Matthew Robert Psychology Floral Park S11336-5B  February 9, 2016
Mcmillan, Robert Scott Psychology New York S20353-9W  February 10, 2016
Mikesell, James Walter Psychology East Syracuse S10649-2I  February 16, 2016
Millard, Richard Woodworth Psychology Fairport S09207-2B  February 16, 2016
Miller, Adam B Psychology Hewlett S14877-5B  February 10, 2016
Rapke, Jennifer Anne Psychology North Syracuse S19669-1W  February 10, 2016
Rembert, Cecilia Psychology Yorktown Heights S18644-5B  February 16, 2016
Roufail, Christine Psychology Syosset S21156-5W  February 16, 2016
Shvil, Erel Psychology Tarrytown S20012-1I  February 10, 2016
Spadola, Madeline L Psychology Syracuse S20032-9B  February 16, 2016
Weber, Christine Pezzanite Psychology Lindenhurst S15133-2I  February 16, 2016
Wish, Beth Millstein Psychology Upper Nyack S13665-5W  February 10, 2016
Bowman, Kimberly Cherise Public Health & General Preventive Medicine Stony Brook 277981-7B  February 11, 2016
Klayman, Kevin H Radiology - Diagnostic Radiology Elmira 234303-6W  February 22, 2016
Ornstein, Matthew Herbert Rheumatology Carmel 179957-6B  February 8, 2016
Chaudhary, Neeta Dalsang Surgery, Surgical Critical Care Stony Brook 281941-5B  February 19, 2016
Collins, Craig Joseph Surgery, Colon/Rectal Surgery Geneva 264608-1W  February 8, 2016
Hahm, Sae Joon Surgery, General Vascular Surgery Mount Kisco 262299-1B  February 8, 2016
Hourmont, Katherine Surgery, Surgical Critical Care Schenectady 210239-0W  February 12, 2016
Wall Eva Margaret Surgery, Surgical Critical Care Geneva 221037-5W  February 5, 2016
Koullias George John Thoracic Surgery Stony Brook 262079-7B  February 19, 2016

*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