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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. 046-915

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

Date: January 19, 2017

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
Cymerman, Diane Hoffman Allergy and Immunology, Internal Medicine East Setauket 161005-4B December 30, 2016
DiCostanzo, Damian Paul Anatomic Pathology, Dermatopathology Port Chester 168313-5W December 29, 2016
Demma, Linda Jean Anesthesiology Cooperstown 282528-9W December 2, 2016
Mane, Shamee Paresh Anesthesiology Albany 286562-4W December 30, 2016
Yu, Suzanne Ge Anesthesiology New York 226996-7W December 20, 2016
Tallman, Mark Patrick Cardiovascular Stony Brook 191442-3W December 29, 2016
Carter, Stacy Marie Chiropractic Syracuse C12209-5W December 30, 2016
Castro, Michael Ralph Chiropractic Pearl River C12777-1B December 30, 2016
Davis, Jeremiah Evan Chiropractic Kenmore C12603-9W December 30, 2016
Fialkov, Ross Alan Chiropractic Brooklyn C12532-0W December 30, 2016
Flores, Manuel Enrique Chiropractic Red Hook C11153-6B December 30, 2016
Mendelblatt, Brendt Ross Chiropractic Bardonia C12837-3B December 30, 2016
Thomas, Noble A. Chiropractic Rye Brook C12866-2B December 30, 2016
Tirimacco, Sarah Chiropractic Rochester C12600-5B December 30, 2016
Hogge, Mark Wayne Diagnostic Radiology Jamestown 286556-6W December 22, 2016
Ishtiaq, Bakhtiar Emergency Medicine Yorktown Heights 204974-0B December 27, 2016
Lardner, Deborah Anne Emergency Medicine, Family Practice Brooklyn 233670-9W December 5, 2016
Cunningham, Daniel Joseph Edwar Family Practice Schenectady 284338-1W December 7, 2016
Duroseau, Yvel Family Practice, Geriatric Medicine Bronx 268166-6B December 27, 2016
Fresneda, Caridad Irene Family Practice Yonkers 190207-1B December 22, 2016
Kolaj, Brunilda Family Practice Liverpool 286472-6W December 5, 2016
Kudria, Inna Family Practice Hudson 211095-5W December 30, 2016
Mekhoubad, Shahram Family Practice Oakland Gardens 273033-1B December 19, 2016
Pant, Shradha Family Practice Syracuse 285887-6W December 30, 2016
Thomashefski, Matthew Robert Family Practice Le Roy 283849-8W December 27, 2016
Bien, Harold Internal Medicine, Hematology, Medical Oncology Stony Brook 267100-6B December 30, 2016
Lazo, Dante Torrijos Internal Medicine Flushing 185982-6W December 7, 2016
Mustafa, Nadia Muhammad Internal Medicine Middletown 259759-9W December 19, 2016
Sterns, Richard H. Internal Medicine, Nephrology Rochester 116909-3W December 5, 2016
Tomy, Mercy Kuttentharappel Internal Medicine Syracuse 285204-4W December 30, 2016
Waters, Theresa Anne Internal Medicine Fayetteville 285798-5W December 19, 2016
Sevush-Garcy, Jennifer Lori Neurology Mount Kisco 280736-0B December 19, 2016
Murthy, Rajan Nuclear Medicine, Diagnostic Radiology Astoria 219585-7W December 19, 2016
Crane, William Grace, Jr. Ophthalmology Watertown 190088-5W December 7, 2016
Casagrande, Danielle Joy Orthopedic Surgery Brooklyn 270892-3W December 22, 2016
Cicoria, Anthony David Orthopedic Surgery Norwich 174322-8W December 29, 2016
Echenique, Jose Javier Orthopedic Surgery Bronx 284074-2B December 5, 2016
Chang, Richard Ginlung Physical Medicine/Rehabilitation Brooklyn 262319-7B December 5, 2016
Hilderbrand, Rene Frances Ann Physical Medicine/Rehabilitation New York 252229-0W December 30, 2016
Simpson, Scott Albert Physical Medicine/Rehabilitation Stony Brook 285022-0W December 27, 2016
Akunne, Chima Paul Podiatry Newburgh P06718-2W December 29, 2016
Lee, Charles Podiatry Bronx P06605-1W December 29, 2016
Leon, Stuart Brian Podiatry Briarwood P05513-8W December 29, 2016
Piselli, Elizabeth Hope Podiatry Rockville Ctr P06716-6W December 29, 2016
Gill, Poonamdeep Kaur Psychiatry, Child Psychiatry Stony Brook 285021-2W December 30, 2016
Lobosco, Matthew Psychiatry, Internal Medicine Stony Brook 271894-8B December 30, 2016
Swain, James Edward Psychiatry Stony Brook 284951-1W December 30, 2016
Branson, Brittany Rachel Radiology – Diagnostic Radiology Mount Kisco 284215-1W December 1, 2016
Taylor, Jennifer Nicole Radiology – Diagnostic Radiology Syracuse 271234-7W December 2, 2016
Allam, Medhat E. Surgery Southampton 193888-5W December 29, 2016
Ayers, Joseph Daniel Surgery, General Vascular Surgery Cooperstown 233964-6W December 7, 2016
Sbayi, Samer Surgery Stony Brook 286000-5B December 27, 2016
Tannous, Henry Jean Surgery, Thoracic Surgery Stony Brook 239983-0W December 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