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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. 046-849

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

Date: April 22, 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
Mydosh Thomas Francis Canandaigua 173340-1W February 5, 2016
Adar, Shalva Forest Hills 193766-3W February 8, 2016
Aglietti, Karen Marie Whitestone P05171-5W February 8, 2016
Albis, Peter Daniel Yonkers C08837-9W February 8, 2016
Avila, Vincent Hicksville 085392-9W February 8, 2016
Balaghi, Mesbaheddin Fishkill 203371-0W February 8, 2016
Baras, Irving New York 046961-9W February 8, 2016
Barthold, Harold Joseph, II Scituate 180404-6W February 8, 2016
Beaudette, Charles Ives Fredericksburg 265337-6W February 8, 2016
Benatar, Benzion Bellmore 086503-0B February 8, 2016
Bentivegna, Sebastian Skaneateles P02120-5W February 8, 2016
Bloom, Karen Elizabeth Haddonfield 233616-2W February 8, 2016
Brown, David Lloyd Stony Brook 210134-3B February 8, 2016
Brown, John Francis New York C09786-7B February 8, 2016
Cadet, Fredrick Manhasset 145377-8W February 8, 2016
Clopper, Todd D. Wellesley Island 119853-0W February 8, 2016
Cochrane, Kenneth James Mount Dora S09300-5B February 8, 2016
Cohen, Arthur Syosset P03148-5W February 8, 2016
Cooper, Kathy Lynn New York 238647-2W February 8, 2016
Corpora Cara Lyn Owego 259184-0W February 8, 2016
Damianos, Herodotos Port Jefferson 093151-9W February 8, 2016
Davis, Joseph Edward New York 075506-6B February 8, 2016
De La Cancela, Victor Bronx S10361-4B February 8, 2016
Dorf, Milton Shrub Oak 101192-3W February 8, 2016
Ebbrecht, Elaine Marie Commack C10078-6W February 8, 2016
Favini, Jospehine Louise Rochester 150024-8W February 8, 2016
Finigan, Michael M. Rochester 090215-5W February 8, 2016
Flamm, H. Erik Byram Twp C02895-3W February 8, 2016
Fleming, William A. Buffalo 094748-1W February 8, 2016
Giron, Fabio East Setauket 108179-3B February 8, 2016
Goldberg, Emanuel New York 075975-3W February 8, 2016
Gregoire, James P., Sr. Romulus 123952-4W February 8, 2016
Grossbarth, David Flier Coral Springs 160288-7W February 8, 2016
Grumet, Gerald W Rochester 092644-4W February 8, 2016
Guttikonda, Lakshminarayana Staten Island 253940-1W February 8, 2016
Hannan, Cheryl Marie N. Massapequa C07143-3W February 8, 2016
Herman, Barry David Edison 128190-6W February 8, 2016
Herzog,  Joshua Paul Auburn 272826-9W February 8, 2016
Hesham, Hashim Mohammad Albany 216951-4W February 8, 2016
Hudes, Marc Jay Monticello P02431-6B February 8, 2016
Hutton, Lykling Elizabeth Anne Waterville 249191-8W February 8, 2016
Iannacone, Alphonse J. Staten Island 087261-4W February 8, 2016
Jung, Hoon Chang Buffalo 233187-4B February 8, 2016
Kanan, Melvin Herman Brooklyn C01763-4W February 8, 2016
Kessinger, Siskind Donna Huntington Station 172687-6W February 8, 2016
Kim, Chung Eun Park Rye 119172-5W February 9, 2016
King, Steven Alan Philadelphia 160666-4B February 9, 2016
Klein, Larry Harold Brooklyn P02382-1B February 9, 2016
Kottukapally, Nobin Jos Greece 266204-7W February 9, 2016
Laidlaw, Garth O. Hilton 134559-4W February 9, 2016
Lanzone, Francis J. Garden City 136219-3W February 9, 2016
Lipman, Earl Stanley Rochester 072784-2W February 9, 2016
Lubell, Frederick Bellmore P02053-8B February 9, 2016
Lundgren, Paul Haight Averill Park 156804-7W February 9, 2016
Mahajan, Swarn Brooklyn 122904-6W February 9, 2016
Mamdani, Sohail Swedesboro 272621-4W February 9, 2016
Mariniello, Daniel A. East Aurora 087279-6W February 9, 2016
Marshall, Jerry A. Glen Head C03427-4B February 9, 2016
Mayer-Cesiano, Lucien New York 106187-8B February 9, 2016
Melikian, Harrout Earle New York 106279-3W February 9, 2016
Menczelesz, Gabor Brooklyn 210461-0B February 9, 2016
Miller, Patricia A. Mahopac 175423-3W February 9, 2016
Mohanty, Radharani Binghamton 145756-3W February 9, 2016
Narov, David Brooklyn S10442-2W February 9, 2016
Nayeri, Albert Nima Liverpool 255462-4W February 9, 2016
Novak, Steven Michael Mount Kisco 245627-5W February 9, 2016
Pannell, Richard W. Bronx P02677-4W February 9, 2016
Pareek, Natwar K. Barrington 125219-6W February 9, 2016
Paulk, Arunava Stony Brook 255361-8W February 9, 2016
Pecora, Alfred A. Merrick C00944-1W February 9, 2016
Rachleff, Alan Noel Great Neck 099100-0W February 9, 2016
Rand, Artur Holmes 174986-0W February 9, 2016
Rascoff, Joel Herbert New Rochelle 108926-7W February 9, 2016
Rempel, Jacob Lewiston 117050-5W February 9, 2016
Reznikoff, Maria D. Hollis 204128-3W February 9, 2016
Shelton, Ryan R. Rochester 257177-6W February 9, 2016
Shriro, Robert Louis Woodbury 087322-4W February 9, 2016
Singh, Harbans Manhassett Hills 102956-0W February 9, 2016
Sorrentino, Sergio Salvatore Hornell 167442-3W February 9, 2016
Steiner, Joseph George Congers P02390-4W February 9, 2016
Taft, Garo H. Oswego 085851-4W February 9, 2016
Tepper, Clifford M. Niskayuna 047531-9W February 9, 2016
Vidan, Erez Great Neck 238696-9W February 9, 2016
Vogelsberg, Paul Otto Lindenhurst 087993-2W February 9, 2016
Youngquist, Owen Frank, Jr. Cold Springs Harbor S03005-6W February 9, 2016
Zaejian, Jasenn Bronxville S11221-9W February 9, 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"

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