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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. 046-929

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

Date: March 9, 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
Almahayri, Abdullah Pittsford 185022-1W January 11, 2017
Almeyda, Elizabeth Ann New York 147010-3W January 11, 2017
Amstey, Marvin Saul Fairport 098573-9W January 11, 2017
Ball, Joshua Timothy West Seneca C11480-3W January 11, 2017
Bauman-Brown, Kathleen Spring Branch C06993-2B January 11, 2017
Blyskal, Stanley E. East Islip 124015-9W January 11, 2017
Borromeo, Douglas B. Alleghany 141589-2W January 11, 2017
Bures, George Joseph Bay Shore 081929-2W January 11, 2017
Byrne, Richard Mark Auburn 116883-0B January 11, 2017
Carr, Ronald Edward New York 085717-7W January 11, 2017
Cattell, William Stuart Hyde Park 200848-0W January 11, 2017
Conte, Salvatore New Rochelle 125933-2W January 11, 2017
Davidson, Elinor Ann Stockheim Larchmont 125933-2W January 11, 2017
Delisi, John Robert Pomona C11091-8W January 11, 2017
Digregorio, Vincent Robert Garden City 106032-6W January 11, 2017
Fink, Maximilian St. James 045965-1W January 11, 2017
Golan, Sivan Shemesh Liverpool 254585-3W January 11, 2017
Grenier, Yannick Yvette Marie Clinton 260479-1B January 11, 2017
Harausz, Elizabeth Page Albany 256267-6W January 11, 2017
Herrera, Marcos A. Portland 164561-3W January 11, 2017
Hilfer, William H. Forest Hills 136183-1W January 11, 2017
Jameson, Kenneth R. Brooklyn C03992-7W January 11, 2017
Jao, Superio Tan Smithtown 173312-0W January 11, 2017
Kapel, Saul Emanuel Scarsdale 082150-4W January 11, 2017
Kasaraneni, Manmadharao Brockport 144361-3W January 11, 2017
Kaufman, Stephen M. Leominster 106103-5W January 11, 2017
Khilnani, Anuradha New York 229514-5W January 11, 2017
Kim, Chung Hoon Rochester 188548-2W January 11, 2017
Konstas, Angelos Aristeidis Stony Brook 277245-7W January 11, 2017
Korngold, Louis New City 098842-8W January 11, 2017
Lee, Ching Yin Aurora 268786-1W January 12, 2017
Legarda, Ramon Bronxville 149944-1W January 12, 2017
Li, Sing Your Warsaw 260134-2W January 12, 2017
Makarewicz, Carl Richard Englewood 163808-9W January 12, 2017
Masrani, Deepa Jamesville 268338-1W January 12, 2017
Maxon, Tomm L. Watertown C03448-0B January 12, 2017
Miller, Charles Albert Spencer Stony Brook 277086-5W January 12, 2017
Miranda, Luis Staten Island 115278-4W January 12, 2017
Mirza, Naureen Bedford 229177-1B January 12, 2017
Moazzenzadeh, Abdolreza Roslyn 121659-7W January 12, 2017
Nahas, Christian Sherif Island Park 184118-8B January 13, 2017
Neilson, Evan Roger Homosassa C04973-6W January 13, 2017
Nevin, Philip Charles Canandaigua 184499-2W January 13, 2017
Patel, Shalin B. New Hyde Park C12478-6W January 13, 2017
Perez, Jose M. East Setauket 091062-0W January 13, 2017
Podell, Paul Norman Scarsdale 084638-6B January 13, 2017
Rizzuto, Vincent James Forest Hills 090756-8W January 13, 2017
Roque, Clemente Tan Stony Brook 158433-3W January 13, 2017
Russo, John Frank Oakdale C04096-6B January 13, 2017
Salmon, Mary W. Macfarlane New York 093264-0W January 13, 2017
Seidman, Peggy Ann Stony Brook 234929-8W January 13, 2017
Selikowitz, Michael M. Nanuet 140145-4W January 13, 2017
Seymour, Rueben James Bayshore 079213-5B January 13, 2017
Sim, Jediah Jaehee New York 269437-0W January 13, 2017
Skucas, Jovitas G. Hilton 103758-9W January 13, 2017
Small Harold Fineview 083147-9W January 13, 2017
Solomon, David New York 091316-0W January 13, 2017
Stirling, Michael Jay Vestal 135187-3W January 13, 2017
Sudberg, Leonard Allen Brooklyn 146646-5W January 13, 2017
Sussin, Mark H. Rhinebeck C03566-9W January 13, 2017
Swartz, Paul Gregory Tampa 269872-8B January 13, 2017
Swenson, E. James, Jr. Rochester 176383-8W January 13, 2017
Thomas, Kristen Leigh Portland 252969-1W January 13, 2017
Velazquez, Lyzette Eileen Cortlandt Manor 176337-4W January 13, 2017
Villa, Jose Emilio Stamford 098417-9W January 13, 2017
Volkert, Ezekiel Rochester 269194-7W January 13, 2017
Vora, Rathin Nishikant Los Angeles 262349-4B January 13, 2017
Wade, Jay Carlyle Bronx S13956-8I January 13, 2017
Walentin, Robert W. Cornwall C08156-4W January 13, 2017

* 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