Subject Numbers Regarding Health Provider Authorizations
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