Subject Numbers Regarding Health Provider Authorizations
August 18, 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 |
|---|---|---|---|
| Abdul-Ahad, Linda Ramzi B. | Lancaster | 258649-3W | June 15, 2016 |
| Ahern, Geary Edward | New York | 128092-4W | June 15, 2016 |
| Arboleda, Cecilia Tesoro | Hyde Park | 117294-9W | June 15, 2016 |
| Axelrod, Edward Harvey | New York | 080964-0W | June 15, 2016 |
| Baba, Michael John | Binghamton | 259515-5W | June 15, 2016 |
| Balinberg, Edmond Bali | New York | 116228-8W | June 15, 2016 |
| Berdon, Walter Evan | Mamaroneck | 078969-3W | June 15, 2016 |
| Bilicki, Bradford Karsten | Watertown | 248110-9W | June 15, 2016 |
| Block, Jerome Mervyn | Bradenton | 077526-2W | June 15, 2016 |
| Carim, Goolam Hoosen | Bay Shore | 149071-3W | June 15, 2016 |
| Cattafi, Paul David | New York | 256974-7W | June 15, 2016 |
| Cavaliere, Lisa Marie | Mt. Kisco | C08143-2B | June 15, 2016 |
| Chang, Hwang N. | Newark | 121387-5 W | June 15, 2016 |
| Chen, James Hung | Folsom | 212650-6W | June 15, 2016 |
| Cich, Frederick William | Cortlandt Manor | C02938-1W | June 15, 2016 |
| Cleveland-Traylor, Amelia | Rochester | 251359-6W | June 15, 2016 |
| Colon, Barbara Wirth | Howard Beach | 097313-1B | June 15, 2016 |
| Couluris, Victoria | Deer Park | C06379-4W | June 15, 2016 |
| Curia, Luciana Maria | East Syracuse | 268811-7W | June 15, 2016 |
| Cusimano, Jungsil K. | Binghamton | 218013-1B | June 15, 2016 |
| Daly, Jay M. | New Hartford | 273950-6W | June 15, 2016 |
| Dvorak, Nancy Geraldine | Palm Coast | 150069-3W | June 15, 2016 |
| Enu, Karuvath | Hudson | 110197-1W | June 15, 2016 |
| Faye, Eleanor Eaton | New York | 073748-6W | June 15, 2016 |
| Farlin, Marion Joyce | Niskayuna | 085700-3W | June 27, 2016 |
| Felix, Nancy Anne | Hoosick Falls | 226086-7W | June 15, 2016 |
| Ferrari, Cosimo J. | Malone | 191957-0W | June 15, 2016 |
| Figur, Arthur Max | New York | 078231-8W | June 15, 2016 |
| Flynn, Brigid Colleen | New York | 240740-1W | June 15, 2016 |
| Friedman, Shep J. | Cooperstown | 166677-5W | June 15, 2016 |
| Galletti, Joseph R. | Hicksville | C08003-8W | June 15, 2016 |
| Gallo, W. Christopher | Troy | C04888-6B | June 15, 2016 |
| Gartman, John Joseph | Vestal | 190166-9B | June 15, 2016 |
| Gennarelli, Eugene Anthony | Nissequoque | S09855-8B | June 17, 2016 |
| Glezen, Sharon Joyce | Burlington | 178405-7W | June 17, 2016 |
| Gordon, Jeffrey B. | Rochester | 151996-6W | June 17, 2016 |
| Greer, Thomas Lee | Jamestown | 158608-0W | June 17, 2016 |
| Kall, John A. | Yonkers | 142420-9W | June 17, 2016 |
| Kent, Gary Curtis | Pittsford | 096461-9W | June 17, 2016 |
| Kissi, Harry Amoako | Sherburne | 258131-2W | June 17, 2016 |
| Kleyman, Boris | Brooklyn | 212753-8W | June 17, 2016 |
| Kohli, Harneet Rikki | Rochester | 250689-7I | June 17, 2016 |
| Koritz, Hans Rutger | Kenmore | 196557-3W | June 17, 2016 |
| Krigsman, Stephen Mark | Rockville Centre | 103713-4W | June 17, 2016 |
| Lenes,, Priscilla | New York | C03748-3W | June 17, 2016 |
| Li Bassi, Paul Joseph | Clarence | 082382-3W | June 17, 2016 |
| Lifrak, Maria | Albany | S08002-8B | June 17, 2016 |
| Magiera, Robert J. | Canandaigua | P02817-6B | June 17, 2016 |
| Mardam, Bey Tarek H. | New York | 126586-7W | June 17, 2016 |
| Martin, Janet Cummings | Norwich | 095845-4W | June 17, 2016 |
| Mason, III, Appleton Adams | Albany | 197216-5W | June 17, 2016 |
| McKee, Michael Shane | San Antonio | 199060-5W | June 17, 2016 |
| Mellman, David | Liverpool | 265778-1W | June 17, 2016 |
| Mickatavage, Robert Charles | Purchase | 092072-8W | June 17, 2016 |
| Nagel, Theodore William | Cooperstown | 273794-8W | June 17, 2016 |
| Nash, Alexander | Naples | 138822-2W | June 17, 2016 |
| Nowbar, Seyed Reza | Pittsford | 107913-6B | June 17, 2016 |
| Ongg, Sun Yi | New York | 137272-1W | June 17, 2016 |
| Orlin, Harvey | Old Westbury | 088003-9B | June 17, 2016 |
| Osborne, Brandon Stephan | Pennington | C12327-5B | June 17, 2016 |
| Persaud, Looknarine | Elmira | 128134-4W | June 20, 2016 |
| Pokorny, George R. | North Augusta | 156399-8W | June 20, 2016 |
| Quittell, Glenn Stuart | Larchmont | P02388-8B | June 20, 2016 |
| Roberts, Lloyd Andrew | Stony Brook | 248799-9B | June 20, 2016 |
| Rubio, Sandra Ines | Horseheads | 190069-5B | June 20, 2016 |
| Sanborn, John C. | Manlius | 084069-4W | June 20, 2016 |
| Sandler, Alan | Clifton Park | P02512-3B | June 20, 2016 |
| Schenk, Laurence U. | Binghamton | 144493-4B | June 20, 2016 |
| Scroggins, Sandra Rae | Shushan | 155439-3W | June 20, 2016 |
| Shefner, Jeremy Michael | Syracuse | 204580-5W | June 20, 2016 |
| Sheinkerman, Boriz Z. | Sunny Isles Beach | 173254-4W | June 20, 2016 |
| Sperling, Edward J. | Mt. Sinai | P04169-0W | June 20, 2016 |
| Steinberg, Jorge | New York | 096228-2I | June 20, 2016 |
| Steinman, Gary D. | Hollis | 122734-7W | June 20, 2016 |
| Stenclik, Mark John | Palm Coast | 169354-8B | June 20, 2016 |
| Stock, Richard J. | New York | 048374-3W | June 20, 2016 |
| Sullivan, Kathleen A. | Staten Island | S05798-4W | June 20, 2016 |
| Sunew, Kenneth Young | Bayside | 112839-6W | June 20, 2016 |
| Sutanchaiyanont, Vichai | Yonkers | 184958-7W | June 20, 2016 |
| Tabb, Alan Joseph | Corning | P02447-2W | June 20, 2016 |
| Thompson, Brian David | Endicott | C09102-7W | June 20, 2016 |
| Valskys, Rytis | Saddle River | 233156-9W | June 20, 2016 |
| Wagner, Richard Adam | Johnstown | 078712-7W | June 20, 2016 |
| Wolfson, Hyman William | Commack | C03031-4B | June 20, 2016 |
| Wright, Arthur Sears | Rochester | P02397-9W | June 20, 2016 |
| Zaidi, Hooma | Woodbury | 157053-0W | June 27, 2016 |
| Zollo, Joseph Dominic | Yarmouth Port | 211439-5W | June 20, 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.
Kenneth J. Munnelly
Chair