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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. 046-863

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

Date: June 21, 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
Bernales, Wilson Fulla Fayetteville 237463-5B April 5, 2016
Brathwaite, Deborah Maria Brooklyn 197828-7W April 13, 2016
Chang, Barbara Hing Fong New York S04941-1B April 13, 2016
Cherr, Donald Rochester 083720-3B April 13, 2016
Daye, Suhail Sami Massena 192374-7W April 13, 2016
Colvin, Otis Christopher Ft. Mitchell 274751-7W April 13, 2016
Denisi, Dominick J. Newburgh C03187-4B April 13, 2016
Deyhimpanah, Reza Elmhurst 115067-1W April 13, 2016
Drew, Philip Trafton Cape Neddick 150805-0W April 13, 2016
Epelman, Silvia Dolly New City 163898-0W April 13, 2016
Fioretti, Santo G. Erie P04086-6B April 13, 2016
Gass, Burton R. Brooklyn P03631-0W February 22, 2016
Gerber, Oded Stony Brook 122640-6W April 13, 2016
Heffer, Peter J. Roslyn 102699-6W April 13, 2016
Hoppenstein, Reuben New York 090013-4W April 13, 2016
Jaffe, Israeli Aaron New York 072972-3W April 13, 2016
Johnson, Gail Converse New Hartford 194354-7W April 13, 2016
Johnson, Scott Emory Marietta 239747-9W April 13, 2016
Katzeff, Barbara Susan New Rochelle 150267-3W April 13, 2016
Kelly, Matthew E. Rochester C12268-1W April 13, 2016
Khalifa, Yousuf M. Rochester 256635-4B April 13, 2016
Knapp, Patrick William Clinton 140923-4W April 13, 2016
Kramer, Jeffrey A. Norwich 113046-7W April 13, 2016
Lee, Allan D. Bayside P02751-7W April 13, 2016
Levinson, Stephen Fred New York 190532-2B April 13, 2016
Malik, Amy Naseem Chappaqua 226854-8W April 13, 2016
Marino, Joseph John Elmira C04170-9W April 13, 2016
Midolo, Augusto E. Binghamton 105372-7W April 13, 2016
Miller, Frederick Stony Brook 089489-9W April 13, 2016
Melcer, Christopher Bradley Wesley Hills 177156-7W April 13, 2016
Morris, Eleazar Chayam Mt. Vernon 226349-9W April 13, 2016
Mouallem, Hamid New York 101161-8W April 13, 2016
Nguyen, Long Van Syracuse 265893-8W April 13, 2016
Nehme, Elie Antoine St. Olean 273166-9W April 13, 2016
Osadca, Steven A. Williamsville 151058-5W April 14, 2016
Panchacharam, Winston V. Nanuet 115314-7W April 14, 2016
Pennisi, Anthony Centre 084855-6W April 14, 2016
Peterman, Arkady Olean 235143-5W April 14, 2016
Ramdya, Mukta P. Smithtown 137633-4W April 14, 2016
Rampil, Ira Jay Williamson 218588-2W April 14, 2016
Reiss, Harry New York 048597-9B April 14, 2016
Riggio, Charles J. Clarence 086189-8W April 14, 2016
Rim, Sean Los Angeles 257737-7I April 14, 2016
Rivera, Walter Loudonville 142326-8W April 14, 2016
Rojas, Barrios Jose Omar Brooklyn 102975-0W April 14, 2016
Rutstein, Eleanor Harriet New Rochelle S03911-5W April 14, 2016
Salamon, Tiberiu New York 132437-5W April 14, 2016
Schacht, Marvin Elmont P02028-0W April 14, 2016
Schumann, Norman S. New York P02126-2B April 14, 2016
Seguerra, Tito M. Dix Hills 136324-1W April 14, 2016
Siegman, Felix Alfred Brooklyn 047042-7W April 14, 2016
Simmons, Warren Bradley Newark 174483-8W April 4, 2016
Sinha, Chandreshwar N. Bronx 122147-2W April 14, 2016
Smythe, Jared Adam Owego C12274-9W April 14, 2016
Sprafkin, Robert P. Center Ossipee S04308-3B April 14, 2016
Steiner, Carolida Great Neck S06107-7W April 14, 2016
Stenger, Richard J. New York 101657-5W April 14, 2016
Strum, Gerald Staten Island 086421-5W April 14, 2016
Tong, Eddy Chi Kwang New Rochelle 107881-5W April 14, 2016
Venuti, Frank Joseph Harrogate 182936-5W April 14, 2016
Viswanath, Banad N. Brooklyn 104697-8W April 14, 2016
Wagner, Roberta Anne Guilderland 165902-8W April 14, 2016
Weissman, Rachel Beth New York C10197-4B April 14, 2016
Werther, J. Lawrence New York 076923-2W April 14, 2016
Wilner, George Dubar Albany 096850-3W April 14, 2016
Wood, Frederick C., Jr. Loudonville 075114-9W April 14, 2016
Zagon, Roy L. Manhasset P02691-5W April 14, 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