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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. 046-906

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

Date: December 16, 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
Blackmun, Dorothy Lanham Anatomic Pathology, Clinical Pathology, Cytopathology White Plains 213348-6W November 28, 2016
Nasuti, Joseph Anatomic Pathology, Clinical Pathology, Cytopathology West Harrison 255092-9W November 9, 2016
Wang, Xiaotong Anatomic Pathology, Clinical Pathology Stony Brook 241034-8B November 10, 2016
Debiec, Jozef M. Anesthesiology, Pain Management Tarrytown 240161-0B November 9, 2016
Doan, Lisa Vi Anesthesiology, Pain Management New York 245749-7W November 9, 2016
Freeman, Christine Curcio Anesthesiology Melville 266461-3W November 9, 2016
Jahanbakhsh, Bahram Anesthesiology Brooklyn 279538-3W November 9, 2016
Leff, David A. Anesthesiology Albany 181920-0W November 10, 2016
Maclin, Marissa Adriana Anesthesiology, Pain Management Williamsville 281733-6W November 9, 2016
Malik, Javaid Ashraf Anesthesiology Vestal 271685-0W November 9, 2016
Riso, Janice Anesthesiology Staten Island 283023-0W November 9, 2016
Tateosian, Vahe Steve Anesthesiology Stony Brook 268351-4W November 21, 2016
Zou, Shengping Anesthesiology, Pain Management New York 213172-0W November 9, 2016
Datir, Abhijit Prakash Diagnostic Radiology Rochester 285414-9W November 9, 2016
Dutka, Michael Vincent Diagnostic Radiology Staten Island 274641-0W November 10, 2016
Henderson, Daryl Scott Diagnostic Radiology Potsdam 255456-6W November 28, 2016
Miah, Chowdhury Furhad Diagnostic Radiology Latham 284864-6W November 10, 2016
Sharp, Sariya Anne Diagnostic Radiology Cooperstown 269752-2W November 3, 2016
Siddiqui, Pervez Arshad Diagnostic Radiology Middletown 214941-7W November 10, 2016
Steer, Steven Allen Diagnostic Radiology East Syracuse 281558-7W November 28, 2016
Fareed, Nabiel Emergency Medicine New Paltz 231495-3W November 15, 2016
Morine, Erin Marie Emergency Medicine Queensbury 275881-1W November 22, 2016
Park, Malsuk Emergency Medicine Johnson City 209345-8W November 25, 2016
Khaliq, Anila Family Practice Middletown 263152-1W November 10, 2016
Le, Vy Thuy Family Practice Penn Yan 285957-7W November 10, 2016
Mohan, Rajani Family Practice New York 285024-6W November 9, 2016
Nazir, Tabasum Family Practice Cobleskill 280961-4W November 28, 2016
Wilson, Geniene Elena Family Practice Hudson 252714-1W November 15, 2016
Brockway, Matthew Metcalf Internal Medicine Rochester 284532-9W November 15, 2016
Bryan, Richard M. Internal Medicine, Rheumatology Queensbury 253151-5W November 22, 2016
Chaker, Sana Internal Medicine Rochester 283639-3W November 15, 2016
Chalik, Natalya L. Internal Medicine Staten Island 229483-3W November 22, 2016
Chung, Nancy Internal Medicine, Gastroenterology Yonkers 249519-0W November 9, 2016
Ford, John P. Internal Medicine, Medical Oncology Corning 128183-1W November 3, 2016
Fradlis, Bella Internal Medicine, Rheumatology Middletown 260287-8W November 28, 2016
Gnanajothy, Rosana Internal Medicine, Hematology, Medical Oncology Cooperstown 283306-9W November 3, 2016
Grewal, Rickinder S. Internal Medicine Rochester 282646-9W November 15, 2016
Howard, Elizabeth A. Internal Medicine Valatie 189992-1W November 30, 2016
Koczka, Charles Philip Internal Medicine, Gastroenterology Yonkers 268585-7W November 28, 2016
Lingat, Marie Cheryle Pesca Internal Medicine, Pulmonary Diseases Hudson 245410-6W November 15, 2016
Luthra, Saurav Internal Medicine Rochester 280302-1W November 15, 2016
Mahmoudi, Mandana Internal Medicine, Pulmonary Diseases New York 270424-5B November 9, 2016
Manduca, Bruno Internal Medicine New York 201385-2W November 9, 2016
McKeon, Elisabeth Waterman Internal Medicine Catskill 195446-0W November 15, 2016
Mehta, Rishi Internal Medicine Stony Brook 285314-1W November 30, 2016
Pasniciuc, Silviu Valeriu Internal Medicine Manlius 264616-4W November 28, 2016
Patel, Avani Atul Internal Medicine, Gastroenterology New Hyde Park 188199-4B November 21, 2016
Pitsios, Vasilios Ionnis Internal Medicine Tarrytown 189312-2W November 9, 2016
Reed, Monica Renee Internal Medicine Germantown 263005-1W November 15, 2016
Saeed, Fahad Internal Medicine, Nephrology Rochester 281734-4W November 15, 2016
Schwartz, Carla Rachel Internal Medicine, Pediatrics Rochester 282902-6W November 15, 2016
Soule, Daniel M. Internal Medicine Canton 284667-3W November 10, 2016
Zahir, Mehjabin Internal Medicine, Pulmonary Diseases, Critical Care Medicine Red Hook 249699-0W November 15, 2016
Dashnaw, Matthew Lawrence Neurological Surgery Rochester 284994-1W November 15, 2016
Frimpong, Thomas Neurological Surgery Cooperstown 282403-5W November 15, 2016
Mikell, Charles Bazemore Neurological Surgery Stony Brook 273606-4W November 21, 2016
Sukul, Vishad Neurological Surgery Selkirk 284656-6W November 10, 2016
Ferraro, Lindsay Catherine Neurology Clifton Park 283305-1W November 10, 2016
Khera, Davender Singh Neurology Rochester 267884-5B November 15, 2016
Lopasic, Natalie Wight Ophthalmology Latham 210538-5B November 10, 2016
Adcock, Stephen Randall Orthopedic Surgery Lowville 282871-3W November 10, 2016
Ayalon, Omri Binyamin Orthopedic Surgery Staten Island 270242-1W November 21, 2016
Lenart, Brett Aaron Orthopedic Surgery New York 275754-0W November 9, 2016
Manaqibwala, Moiz Orthopedic Surgery Bohemia 277219-2W November 9, 2016
Pope, John Burton Orthopedic Surgery Bronx 282811-9W November 10, 2016
Butani, Sunil H. Physical Medicine/Rehabilitation Mineola 169195-5B November 9, 2016
Lostritto, Nicole Physical Medicine/Rehabilitation Albany 286374-4W November 22, 2016
Michalisin, John Joseph, Jr. Physical Medicine/Rehabilitation Pain Management New York 267338-2W November 9, 2016
Nitu, Andreea Diana Physical Medicine/Rehabilitation Syracuse 282638-6W November 28, 2016
Guzman-Curtis, Roseanna Surgery, Surgical Critical Care Syracuse 268591-5W November 9, 2016
Khera, Samira Yasmin Surgery Hudson 250995-8W November 15, 2016
Kote, Mila Surgery, Plastic Surgery Smithtown 273225-3W November 18, 2016
Lai, Lisa Marie Surgery Syracuse 284141-9W November 9, 2016
Mannal, Patrick William Surgery Milford 283380-4W November 3, 2016
Osei-Tutu, Bernard Surgery Ozone Park 158337-6W November 21, 2016
Song, Cherry Surgery Middletown 280069-6W November 25, 2016
Spaniolas, Konstantinos Surgery Stony Brook 286029-4W November 21, 2016
Tsai, Tsai-Lung Surgery, Hand Surgery Middletown 284977-6W November 28, 2016
Wakeman, Derek Steven Surgery Rochester 283192-3W November 15, 2016
Michaelides, Joy Katherine Knop Urology Macedon 257024-0W November 15, 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