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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. 046-921

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

Date: February 14, 2017

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
Abelson, Ivan Bruce Port Jefferson C02768-2B December 12, 2016
Abrams, Herbert New York 088114-4W December 12, 2016
Akhtar, Mohammad S. Valley Stream 123003-6B December 12, 2016
Akinyemi, Matilda Yetunde O. Johnson City 276933-9W December 12, 2016
Alt, Allen David Binghamton 138035-1W December 12, 2016
Ashley, Timothy Andrews Rochester 253137-4W December 12, 2016
Baldauf, Robert Paul Glenville P03695-5B December 12, 2016
Bareddy, Kavitha Barakam Atlanta 254575-4B December 12, 2016
Barus, Carl Eben Syracuse 260715-8W December 12, 2016
Bertoni, Alessandro Fairport 079886-8W December 12, 2016
Blask, Brian D. Liverpool C11625-3B December 12, 2016
Boyette, Thel G., Jr. Wilton Manors 127611-2W December 12, 2016
Caro, Paul J. Orchard Park 180738-7W December 12, 2016
Carter, Danielle Marie Franklin 268421-5B December 12, 2016
Chaisetseree, Chitti Hopewell Junction 126314-4W December 12, 2016
Chandrakantan, Arvind Stony Brook 259484-4W December 12, 2016
Co, Cayetano C. Middletown 102761-4W December 12, 2016
Cohen, William N. Jamesville 127231-9W December 12, 2016
Cook, Kenneth Samuel Nashville 186748-0W December 12, 2016
Cordani, Gerald J. Huntington 109769-0W December 14, 2016
Crocco, Lauren E. Yonkers 259942-1W December 14, 2016
D’Adamo, Eugene J. Princeton Junction 083732-8W December 14, 2016
Davila, Hernando M. Bayside 111067-5W December 14, 2016
Dente, Peter J. Howard Beach 095427-1W December 14, 2016
Detschelt, Elizabeth Legnard North Huntington 259432-3B December 14, 2016
Ditkoff, Jerome L. Port Washington 085640-1W December 14, 2016
Eisert, Jack Sleepy Hollow 079705-0W December 14, 2016
Ellis, Jodie L. Brandon C07085-6I December 14, 2016
Fisher, Daniel Albert Elmira 108173-6W December 14, 2016
Gavi, Shai Livingston 222516-7W December 14, 2016
Ghuman, Tanveer Afzal Lake George 191171-8W December 14, 2016
Goldman, Stephen R. Hicksville C01517-4B December 14, 2016
Greenstein, Yakov Brooklyn 160033-7W December 14, 2016
Guarino, Vito Michael Glen Rock C03276-5B December 14, 2016
Guiglotto, Michael Charles Highland C09260-3W December 14, 2016
Gupta, Sandeep Stony Brook 254021-9W December 14, 2016
Hall, William W. New Hartford 139956-7W December 14, 2016
Heyden, William C. Buffalo 094128-6W December 14, 2016
Holt, Jonathan H. Baltimore 158230-3W December 14, 2016
His, David Hao Rochester 198769-2W December 14, 2016
Hsu, Jack Ming Syracuse 220276-0W December 14, 2016
James, Kesha Antionette Arlington 271427-7W December 14, 2016
Kalish, Paul E. Glen Cove 078588-1W December 14, 2016
Kaplan, Fred M. Cooperstown 140709-7W December 14, 2016
Kapoor, Shruti Gupta Stony Brook 266588-3W December 14, 2016
Kwan, Josephine P. New York C03745-9W December 14, 2016
Langszner, Iosif Brooklyn 172741-1W December 14, 2016
Lu, Peter New York 236998-1W December 14, 2016
Lynch, Cynthia Anne Owego 260240-7W December 14, 2016
Mali, Joshua Omeed Slingerlands 269207-7W December 14, 2016
Margolin, Steven New York C05971-9W December 14, 2016
Mitra, Tithi Marlboro 267178-2W December 14, 2016
Myers, Stephen Charles Fairview 211333-0W December 14, 2016
Nicolas-Dollard, Marciana Hamlin 108451-6W December 14, 2016
Obadia, Marc New York 136264-9W December 14, 2016
Patel, Nalinikant K. Islip 135807-6W December 14, 2016
Pecora, J. Louis Endicott 101381-2W December 14, 2016
Pilly, Vikas Kumar Perrysburg 244731-6W December 14, 2016
Pizzi, David J. Orchard Park C11554-5W December 15, 2016
Providence, Eitel Emanuel Brooklyn 155818-8W December 15, 2016
Pugliese, Gale N. Elmira 158963-9W December 15, 2016
Quintano, Robert Louis Scarsdale 105691-0W December 15, 2016
Redstone, Grant Alexander Rochester C11931-5W December 15, 2016
Rifkin, Irwin Rye Brook P01810-2W December 15, 2016
Robins, James Jay Melville 166782-3W December 15, 2016
Ross, Tina Dale Goshen C04750-8W December 15, 2016
Rossett, Orin A. Boynton Beach 157241-1W December 15, 2016
Sanidad, Prospero New York 091297-2W December 15, 2016
Sankar, Veena Patchogue 267389-5W December 15, 2016
Sausa, John J. Farmville C10421-8B December 15, 2016
Sayers, John Jay, Jr. Montauk C01832-7B December 15, 2016
Schacher, Stephanie Jill Fairfield S15115-9B December 15, 2016
Sidhu, Monica Alina Poughkeepsie 249675-0W December 15, 2016
Silverstein, Jeffrey Harold New York 167947-1W December 15, 2016
Sipple, John Harrison, Jr. Dewitt 087414-9W December 15, 2016
Slupsky, Lyudmila Michael Brooklyn 213118-3W December 15, 2016
Starpoli, Nellie Santiago Poughkeepsie 070342-1W December 15, 2016
Szych, Jerry R. Basking Ridge C06523-7I December 15, 2016
Tibere, Emile Orangeburg 100080-1W December 15, 2016
Tigue, Robert John East Berne 189108-4W December 15, 2016
Tobin, Alandra M. Fishkill 151181-5W December 15, 2016
Torres, Jose F. Hollis 087336-4W December 15, 2016
Verrilli, Anthony Staten Island C04494-3B December 15, 2016
Waldron, Martin Francis Cleveland 234921-5B December 15, 2016
Walther, Lewis H., Jr. Horseheads 125803-7W December 15, 2016
Wang, Eugene Batavia 259742-5W December 15, 2016
Weiss, Steven Daniel Parkland 255697-5W December 15, 2016
Werner, Harry R. Monroe 174873-0W December 15, 2016
Michaels, Emil Jamaica 246615-9W December 19, 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