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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. 046-900

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

Date: November 29, 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
Xia, Lihong Anatomic Pathology, Clinical Pathology, Cytopathology Manlius 246548-2W October 21, 2016
Davis, Michael Taro Anesthesiology Rochester 285537-7W October 5, 2016
Frederick, Jeremy Joseph Anesthesiology New York 246451-9W October 21, 2016
Fung, Timothy Tenren Anesthesiology Rochester 273686-6W October 5, 2016
Kim, Jung Hwan Anesthesiology, Pain Management New York 258627-9W October 3, 2016
Kleinman, Shanon Joel Anesthesiology Brooklyn 254479-9B October 21, 2016
Nochimson, Ross Louis Anesthesiology New York 214784-1W October 5, 2016
Perez, Edwin Anesthesiology, Pain Management Brooklyn 279837-9B October 21, 2016
Rad, Yaser Mohammed Anesthesiology Rochester 281986-0W October 5, 2016
Cruz, Elizabeth Maria Child Neurology Stony Brook 279634-0W October 4, 2016
Ascioti, Samuel Wallace Chiropractic Corning C12862-1W October 26, 2016
Casanova, Victor Chiropractic New York C12849-8B October 26, 2016
Donnelli, Joseph David Chiropractic Lima C12766-4W October 26, 2016
Handler, Stephen Robert Chiropractic Valley Cottage C12823-3I October 26, 2016
Henkowicz, Brandon Michael Chiropractic Stony Brook C12178-2W October 26, 2016
Kashevaroff, Zachariah Daniel Chiropractic Williamsville C12873-8W October 26, 2016
Mendelblatt, Brendt Ross Chiropractic Bardonia C12837-3W October 26, 2016
Monegro, Karina Chiropractic Middletown C12771-4W October 26, 2016
Smythe, Jared Adam Chiropractic Owego C12274-9W October 26, 2016
Werner, Stephanie Lynn Chiropractic Hamburg C11321-9W October 26, 2016
Dutka, Michael Vincent Diagnostic Radiology Gladwyne 274641-0B October 21, 2016
Gulko, Edwin Diagnostic Radiology Bronx 273388-9W October 21, 2016
Young, Matthew Gregory Diagnostic Radiology, Neuroradiology Brooklyn 269612-8B October 5, 2016
Cardina, Adam Michael Emergency Medicine Pittsford 264249-4W October 3, 2016
Lam, Michael Emergency Medicine Brooklyn 261648-0W October 21, 2016
Chung, Jenna Family Practice Brooklyn 283139-4W October 21, 2016
Di Santo, Vinson M. Family Practice Marlton 253755-3I October 11, 2016
Gregg, Paula Maria Family Practice Evans Mills 277961-9W October 17, 2016
Holcomb, Christian Lavon Family Practice Liverpool 236483-4W October 21, 2016
Hunter, Stanley Russell Family Practice, Sports Medicine Binghamton 283922-3W October 31, 2016
Korbeci, Bihter Family Practice Liverpool 286115-1W October 3, 2016
Malvasi, Anthony John Family Practice East Syracuse 284525-3W October 3, 2016
Nemec, Carolyn Frances Family Practice Poughkeepsie 268895-0W October 17, 2016
Sylvester, Wendy-Ann Laurencia Family Practice Yonkers 223767-5B October 21, 2016
Waggoner, Rex Dwayne Family Practice Staten Island 272098-5W October 21, 2016
Abed, Kareem Internal Medicine Watertown 285374-5W October 17, 2016
Agyemang, Joseph Internal Medicine New Windsor 210340-6W October 17, 2016
Ahmad, Jowairiyya Sarfraz Internal Medicine Middletown 262563-0W October 18, 2016
Chaudhary, Ahmad Internal Medicine Cooperstown 282178-3W October 21, 2016
Chuang, Sally T. Internal Medicine, Infectious Disease Rochester 260596-2W October 3, 2016
Cox, Megan De Grouchy Internal Medicine Rochester 282256-7W October 18, 2016
Floyd, Leroy Cordero Internal Medicine Middletown 280339-3W October 31, 2016
Joudeh, Ramsey Internal Medicine Brooklyn 276139-3W October 21, 2016
Khan, Najmi Shamim Internal Medicine Middletown 226113-9W October 17, 2016
Krauthamer, Sandra Internal Medicine Stony Brook 284316-7W October 4, 2016
Nerkar, Sanjay D. Internal Medicine Hartsdale 229311-6W October 18, 2016
Neu, Kristoffer Philip Internal Medicine, Pulmonary Disease, Critical Care Medicine Albany 250338-1W October 18, 2016
Pujji, Anjoulie Internal Medicine Flushing 286329-8W October 18, 2016
Shiu, David Internal Medicine Middletown 284420-7B October 21, 2016
Singh, Vinita Internal Medicine, Medical Oncology Cooperstown 226358-0W October 18, 2016
Vernatter, Joshua N. Internal Medicine, Infectious Disease Middletown 258537-0W October 18, 2016
Davies, Jason Michael Neurological Surgery Buffalo 284999-0W October 12, 2016
Bruns, Marla Beth Neurology Rochester 264770-9W October 5, 2016
Davila-Martinez, Mariel Neurology Rochester 279321-4W October 5, 2016
Santiago, Crystal Marie Obstetrics/Gynecology Troy 284700-2W October 17, 2016
Cozzarelli, James Francis Orthopedic Surgery Brooklyn 279889-0W October 21, 2016
DiPaola, Matthew James Orthopedic Surgery Buffalo 249572-9B October 21, 2016
Salkin, Jeffrey A. Orthopedic Surgery Brooklyn 168830-8B October 11, 2016
Tejani, Alexander Hussein Orthopedic Surgery Staten Island 279104-4W October 21, 2016
Boiano, Maria Anna Physical Medicine/Rehabilitation West Haverstraw 252217-5B October 21, 2016
Mancuso, Roberto F. Physical Medicine/Rehabilitation Staten Island 278727-3W October 5, 2016
Monfett, Michael Roger Physical Medicine/Rehabilitation New York 278621-8W October 5, 2016
Refermat, David Hazen Plastic Surgery Rochester 211541-8W October 5, 2016
Gil, Roberto B. Psychiatry Stony Brook 208599-1B October 6, 2016
Speken, Ralph Howard Psychiatry New York 104434-6B October 5, 2016
Marcinkowski, Amy Lise Radiology – Diagnostic Radiology East Syracuse 275965-2W October 21, 2016
Adepoju, Omotinuwe Moronfola If Surgery Binghamton 283476-0W October 31, 2016
Eksarko, Polikseni Surgery, Surgical Critical Care Stony Brook 279282-8W October 18, 2016
Hollis, Jesse John Surgery Cooperstown 284715-0W October 21, 2016
Okelly, Priddy Colleen Meghan Surgery Vestal 283827-4W October 17, 2016
Prasad, Sunil M. Thoracic Surgery Rochester 283343-2W October 11, 2016
Frye, Thomas Patrick Urology Rochester 283217-8W October 27, 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