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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. 046-889

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

Date: October 19, 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
Aburjania, Nana Rochester 275413-3W August 11, 2016
Albin, Joan Larchmont 101804-3W August 11, 2016
Andria, Robert A. Brooklyn 145351-3W August 11, 2016
Bailey, Kathryn A. Rochester 213700-8W August 11, 2016
Balfus, Laurence Eberhardt Floral Park 086993-3W August 11, 2016
Bellina, Daniel Patrick Manlius 186328-1W August 11, 2016
Blustein, Herbert E. Forest Hills P01956-3W August 11, 2016
Bremer, Richard L. Ausable Forks 108854-1W August 11, 2016
Carbonaro, Tano S. Staten Island 085262-4W August 11, 2016
Carroll, Patrick John New York S04363-8W August 11, 2016
Carter, Sion William Lindenhurst 269144-2W August 11, 2016
Cavuto, Joseph W. Uniondale P02567-7B August 11, 2016
Chen, Michael Wayne Corning 265397-0W August 11, 2016
Cho, Hyounjoo New York 240706-2W August 11, 2016
Dastghaib, Mohammad New York 113359-4W August 11, 2016
Dianni, Robert LaGrangville 091574-4W August 11, 2016
Dimalante, Jacqueline West Islip C05874-5W August 11, 2016
Dworkin, Robert H. Rochester S06933-6W August 11, 2016
Eckhardt, Wayne A. Skaneateles 133694-0B August 15, 2016
Edouard, Julio Plattsburgh 105409-7W August 15, 2016
Ellis, Brennan Patrick Syracuse 256992-9W August 15, 2016
Ewing, Reginald S Churchville 128545-1W August 15, 2016
Farkas, Tibor George Stockton 115536-5W August 15, 2016
Fox, Martin Leon New York 089553-2W August 15, 2016
Fredrickson, Bruce E. Naples 122366-8B August 15, 2016
Holladay-Galichon, Karen Lynn New York 206370-9B August 15, 2016
Garner, Steven C. Corning 127189-9B August 15, 2016
Glaser, Warren Rochester 073623-1W August 15, 2016
Gottfried, Simon Peter Fishkill 097492-3W August 15, 2016
Hall, Warner Cleland New Hyde Park 091978-7W August 15, 2016
Harris, Carl F. New York P02606-3W August 15, 2016
Henner, Carol Dix Hills S09877-2W August 15, 2016
Hoefnagel, Amie Rochester 249851-7W August 15, 2016
Horwitz, Bert Stuart New York 082678-4B August 15, 2016
Hossain, Shabbir Majid East Setauket 249919-2B August 15, 2016
Imboden, Kenneth J. Oneida 130809-7W August 15, 2016
Kachoria, Lekh Raj B. Pittsford 125110-7W August 15, 2016
Kim, Taik Hwan Poughkeepsie 154290-1W August 15, 2016
Konczynin, William Theodore Setauket 152047-7W August 15, 2016
Leni, Sandra Rochester 219947-9W August 15, 2016
Leopold, Martin R Fishkill 138777-8B August 15, 2016
Levitan, Leonard Merrick P02166-8W August 15, 2016
Lovelace, Jerry Lee Jr. Yonkers 226835-7W August 15, 2016
Lusco, Mark Anthony Mt. Sinai 261164-8W August 15, 2016
Mularella, Joshua Michael Syracuse 268990-9W August 15, 2016
Muthiah, Annamalai Jr Liverpool 210812-4W August 15, 2016
Oberlander, Adam Maurice Bedford Hills 243453-8W August 15, 2016
Pandey, Nabendu Staten Island 115883-1W August 15, 2016
Parsia, Sam Stanford Bethesda 215480-5B August 15, 2016
Pritzker, Henry Arthur Monsey 092039-7W August 15, 2016
Pulido, Leonidas B. Jamaica 110015-5W August 15, 2016
Ray, Neelanjan New York 257882-1W August 15, 2016
Rosner, Harvey New York 093480-2W August 15, 2016
Rothstein, Peter Hastings on the Hudson 162494-9W August 15, 2016
Schwartz, Peter Lawrence Sands Point 108696-6W August 15, 2016
Schwartz, Robert Alan Mansfield 172943-3W August 15, 2016
Shafiroff, Bruce B. Jamesville 124408-6B August 29, 2016
Sheth, Arun Vallabhdas Binghamton 165128-0W August 15, 2016
Siddiqui, Danish Suboor Loma Linda 225550-3W August 15, 2016
Sills, Irene Nancy Syracuse 138276-1W August 15, 2016
Silverman, Jason G. New Rochelle 090122-3W August 16, 2016
Sin, Zae Seol Johnstown 113796-7W August 16, 2016
Sorhaindo, Alphonso Lorenzo Ormond Beach S04306-7B August 16, 2016
Spagnuolo, Mario Yonkers 085537-9W August 16, 2016
Stoica, George Silviu Hempstead 219043-7W August 16, 2016
Sullivan, Andrew J. Slingerlands 124658-6W August 16, 2016
Teicher, Joel Lewis Brooklyn 086347-2B August 16, 2016
Utz, Rosemary Pittsford 145082-4B August 16, 2016
Vasilion, Peter East Aurora 087087-3W August 16, 2016
Venne, Curtis R. Niagara Falls C10881-3B August 16, 2016
Vetter, Brian Clancy Olmstead Falls C11506-5B August 16, 2016
Vigorito, Anthony Brooklyn C08855-1W August 16, 2016
Volkert, Janneke Ariaan Rochester 274869-7W August 16, 2016
Yorke, Philip Charles Trumansburg S07168-8W August 16, 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