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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. 046-865

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

Date: July 15, 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
Cardoso, John Paul A. Anesthesiology Rochester 284306-8W June 21, 2016
Cemer, Nurudin Anesthesiology Oneida 275085-9W June 30, 2016
Joseph, David Oommen Anesthesiology, Critical Care Medicine, Internal Medicine Syracuse 250530-3W June 30, 2016
Mahajan, Nakul Anesthesiology, Pain Management Staten Island 263983-9B June 30, 2016
Yung, Arvid Si Lik Anesthesiology Rochester 269023-8W June 28, 2016
Manganaro, Susan Nicole Child Neurology, Clinical Neurophysiology Stony Brook 274505-7B June 14, 2016
Carnes, Michael Peter Chiropractic Miller Place C11590-9W June 17, 2016
Fiore, Nicholas Joseph Chiropractic Webster C12825-8B June 17, 2016
Groelinger, Milton P. Chiropractic West Babylon C03475-3B June 17, 2016
Hulbert, Jennifer Lynn Chiropractic Sprakers C12441-4W June 17, 2016
Humphries, Leah Virginia Chiropractic Owego C12709-4W June 17, 2016
Kinee, Amanda E. Chiropractic Jamaica C12304-4W June 17, 2016
Lynk, Gary Elias Chiropractic Hudson C07862-8W June 17, 2016
Morgan, Shaun Michael Chiropractic Elma C12500-7W June 17, 2016
Perez, Crespo Vivian Vanessa Chiropractic Rego Park C12813-4W June 17, 2016
Subadya, Jeremy Tjandra Chiropractic Forest Hills C12806-8W June 17, 2016
Blair, Donald Joseph Diagnostic Radiology Bronx 251682-1W June 30, 2016
Gamss, Caryn A. Diagnostic Radiology New York 272598-4W June 3, 2016
Ikram, Nabia Shirin Diagnostic Radiology New Hartford 280121-5W June 9, 2016
Schielke, Jodi Lee Diagnostic Radiology East Syracuse 284075-9W June 14, 2016
Schielke, Lorenz H. Diagnostic Radiology East Syracuse 213928-5W June 14, 2016
Straub, Birva Ajaykumar Diagnostic Radiology New City 279549-0W June 3, 2016
Young, Neal H. Diagnostic Radiology, Vascular and Interventional Radiology Warsaw 257785-6B June 21, 2016
Schwab, Kristin Mary Emergency Medicine Ozone Park 262829-5W June 13, 2016
Smith, Richard Edward Emergency Medicine Queens Village 212407-1W June 2, 2016
Dennison, Patrick R. Family Practice Dunkirk 276924-8B June 17, 2016
Jellett, Carol Family Practice Hyde Park 222115-8W June 30, 2016
Kerzuma, Elina Family Practice Brooklyn 277432-1W June 13, 2016
Kim, Henry Lin Family Practice New York 280969-7W June 3, 2016
Siddique, Khawaja Asim Family Practice Brooklyn 280349-2W June 30, 2016
Sulaiman, Ramez Ahmad Family Practice Brooklyn 265709-6B June 13, 2016
Agheli, Aref Internal Medicine, Hematology, Medical Oncology East Syracuse 257893-8B June 21, 2016
Bisen, Nabamita Internal Medicine, Critical Care Medicine, Pulmonary Diseases Syracuse 277973-4W June 14, 2016
Bravo, Enrico Ayson Internal Medicine Saratoga Springs 271901-1W June 14, 2016
Isabell, Lee Jarrett Internal Medicine Kingston 229152-4W June 27, 2016
Kaufman, Brian E. Internal Medicine Wells 231186-8I June 29, 2016
Klein, Radoslava Internal Medicine, Infectious Diseases Somers 255106-7B June 3, 2016
Pankewycz, Oleh George Internal Medicine, Nephrology Syracuse 221448-4W June 21, 2016
Poupalos, Shannon A. Internal Medicine Buffalo 276819-0W June 16, 2016
Vivenzio, Maria Internal Medicine Saratoga Springs 279760-3W June 7, 2016
Hillard, Virany Huynh Neurological Surgery Valhalla 223418-5W June 30, 2016
Gu, Eugene Yuejie Neurology Stony Brook 266560-2W June 14, 2016
Stevens, Perry Robert Neurology, Internal Medicine Great Neck 179574-9W June 6, 2016
Kostakoglu, Lale Nuclear Medicine New York 209952-1W June 3, 2016
Peskin-Stolze, Melissa Rebecca Obstetrics/Gynecology Stony Brook 264472-2B June 16, 2016
Ahn, Daniel Ophthalmology Cornwall 282296-3W June 14, 2016
Arogyasami, Roy Marie Nambeesan Ophthalmology Plattsburgh 275200-4W June 22, 2016
Afsarkeshmiri, Armin Orthopedic Surgery Glens Falls 235344-9B June 27, 2016
Fitzgerald, Michael Gabriel Orthopedic Surgery Syracuse 284814-1W June 30, 2016
Fitzpatrick, Thomas Michael Orthopedic Surgery Norwich 144692-1W June 24, 2016
Fontaine, Michelle Lee Orthopedic Surgery, Hand Surgery Middletown 275678-1B June 13, 2016
Yeger-McKeever Meira Ziva Orthopedic Surgery Utica 276946-1W June 13, 2016
Privitera, Danielle Harmon Pediatrics Fairport 269422-2W June 21, 2016
Mathew, Thresiamma Physical Medicine/Rehabilitation Brooklyn 247349-4I June 13, 2016
Pappas, Mike Menelaos Physical Medicine/Rehabilitation Riverhead 222059-8B June 28, 2016
Cervantes, Ana Natasha Psychiatry, Forensic Psychiatry Amherst 253447-7W June 21, 2016
Hasan, Abdullah Mohammad Reza Psychiatry Stony Brook 207305-4W June 21, 2016
Brayton, Kimberly J. Psychology Glens Falls S16568-8W June 21, 2016
Covington, Theresa M. Psychology Liverpool S12316-6B June 13, 2016
Delazar, Melinda E. Psychology Wallkill S19455-5W June 13, 2016
Filangieri, Carole Marie Psychology Port Jefferson Station S21489-0B June 13, 2016
Orenbakh, Grigory Psychology Valley Stream S14896-5B June 21, 2016
Popovich-Hymowitz, Genna Faith Psychology Stony Brook S20105-3W June 21, 2016
Teitelbaum, Lesley M. Psychology Fayetteville S20549-2B June 21, 2016
Wolfe, Rachel Psychology New York S15014-4I June 21, 2016
Beecher, Shenecia N. Public Health & General Preventive Medicine Brooklyn 263434-3I June 21, 2016
Franke, Hubert Roman Radiology – Diagnostic Radiology New York 237589-7W June 3, 2016
Hoshmand, Kochi Mahsa Radiology – Diagnostic Radiology Stony Brook 276850-5W June 1, 2016
Rodriguez, Manuel Radiology – Diagnostic Radiology Rochester 279535-9W June 21, 2016
Francis, Sheeja Rheumatology New Windsor 276903-2B June 27, 2016
Bevilacqua, William Frederick Surgery Orchard Park 283583-3B June 21, 2016
Chen, David Q. Surgery Kew Gardens 256140-5W June 13, 2016
Kasulke, Matthew David Surgery Auburn 284157-5W June 13, 2016
Laskowski, Igor Andrew Surgery, General Vascular Surgery Hawthorne 233999-2B June 30, 2016
Malhotra, Sandeep Surgery Middletown 222662-9B June 13, 2016
Grimaldi, Thomas Urology New Rochelle 196160-6B June 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"


Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

 

Kenneth J. Munnelly
Chair