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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. 046-954

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

Date: June 23, 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
Alasio, Teresa Marie Anatomic Pathology, Cytopathology Mount Kisco 221179-5B May 23, 2017
Bishai, Adel R. Anesthesiology Syracuse 228710-0W May 23, 2017
Bok, Sean Seongjou Anesthesiology New York 273560-3W May 19, 2017
Caldwell, William Michael Anesthesiology, Pain Management Stony Brook 269486-7W May 3, 2017
Cruz, Julissa Anesthesiology New York 244251-5W May 31, 2017
Gaultier, Ryan Todd Anesthesiology, Pain Management Brooklyn 275596-5W May 19, 2017
Liu, Jiabin Anesthesiology New York 287055-8W May 19, 2017
Wetmore, Douglas Scott Anesthesiology New York 277930-4W May 19, 2017
Agnello, Jaela Elvera Chiropractic Elma C12887-8W May 12, 2017
Bath, Christopher Michael Chiropractic Clifton Park C12272-3W May 12, 2017
Conrad, D. Jordan Chiropractic Buffalo C11453-0B May 12, 2017
Dauria, Michael Cody Chiropractic New York C11750-9W May 12, 2017
Grover, Oliver Chiropractic New York C12652-6W May 12, 2017
Hagen, Keven Eric Chiropractic Pittsford C12925-6I May 12, 2017
Kosterich, Jordan Benjamin Chiropractic New Rochelle C12930-6W May 12, 2017
Muto, Michael Chiropractic Amherst C08019-4W May 12, 2017
Pervaiz, Waqas Chiropractic Malta C12859-7W May 12, 2017
Turner, Shawn Michael Chiropractic Rego Park C12323-4W May 12, 2017
Lambert, Emily Micham Dermatology Geneva 247814-7W May 5, 2017
Mandell, Jennifer Anne Dermatology Yonkers 279856-9W May 2, 2017
Dunst, Diane Melissa Diagnostic Radiology Melville 270845-1W May 31, 2017
Grubin, Jeremy Diagnostic Radiology New York 274607-1W May 11, 2017
Gupta, Mohit Diagnostic Radiology Cooperstown 268357-1W May 17, 2017
Blyth, Brian James Emergency Medicine Fairport 225624-6W May 17, 2017
Bodkin, Ryan Patrick Emergency Medicine Rochester 256630-5W May 17, 2017
Ready, Katherine Fitzpatrick Emergency Medicine Rochester 278447-8W May 17, 2017
Schueckler, John Theodore, IV Emergency Medicine Fairport 266509-9W May 17, 2017
Soha, Walter James Emergency Medicine Wappingers Falls 227407-4W May 19, 2017
Spencer, Matthew Taylor Emergency Medicine Rochester 214039-0W May 17, 2017
Spillane, Linda L. Emergency Medicine Rochester 185507-1W May 17, 2017
Sultan, Leon Isaac Emergency Medicine New York 262839-4W May 19, 2017
Wolf, Kristin Marie Emergency Medicine Rhinebeck 213259-5W May 26, 2017
Yang, Kauh Christine Emergency Medicine New York 233624-6W May 19, 2017
Zimmerman, Steven Joseph Emergency Medicine Commack 210527-8W May 31, 2017
Chien, Felix Nien-Tsung Family Practice New York 223210-6B May 17, 2017
Ciolac, Candice Michelle Family Practice Champlain 283262-4W May 19, 2017
King, Jessica Sheri Family Practice Champlain 279899-9W May 31, 2017
Kvetnyy, Gennadiy Family Practice Middle Village 208977-9B May 19, 2017
Redeye, Vivien Leah Family Practice Mayville 276182-3W May 25, 2017
Riley, Bernadette Ann Family Practice Long Beach 251808-2W May 19, 2017
Wood, Emily Louise Family Practice Potsdam 286244-9W May 17, 2017
Chabra, Vikram Internal Medicine, Pulmonary Disease Bethpage 266760-8W May 2, 2017
Ganz-Lord, Fran Alexandra Internal Medicine Mount Kisco 218893-6B May 5, 2017
Han, Young Ho Internal Medicine Jefferson Valley 254041-7B May 2, 2017
Hunter, Christina Joy Internal Medicine Brooklyn 286559-0W May 22, 2017
Isihos, Despina N. Internal Medicine Rochester 282911-7W May 17, 2017
Kaul, Nita Internal Medicine, Geriatric Medicine Stony Brook 258024-9W May 31, 2017
McNeal, Marisa Internal Medicine Johnson City 272423-5W May 17, 2017
Midelton, Gary Todd Internal Medicine White Plains 225873-9B May 2, 2017
Pecoraro, Philip John Internal Medicine, Psychiatry Stony Brook 164172-9W May 3, 2017
Santos, Ray Ryan Crisostomo Internal Medicine, Pediatrics Staten Island 284676-4W May 30, 2017
Seecharan, Tina Internal Medicine South Richmond Hill 282029-8W May 22, 2017
Sher, Amna Falak Internal Medicine, Hematology, Medical Oncology Stony Brook 266721-0B May 3, 2017
Schimler, Michael Edward Internal Medicine Johnson City 270658-8W May 17, 2017
Wind, Benjamin Daniel Internal Medicine, Critical Care Medicine, Pulmonary Diseases West Nyack 245290-2W May 22, 2017
Bekelis, Kimon Neurological Surgery West Islip 287522-7W May 31, 2017
Belle, Vaijayantee Kumar Neurology Woburn 282750-9I May 26, 2017
Purushotham, Archana Neurology Stony Brook 287261-2B May 3, 2017
Tollefson, Trenton James Neurology Rochester 278292-8W May 17, 2017
Tomcik, Colleen Bevevino Neurology Rochester 285315-8W May 17, 2017
Bakas, Constantine Obstetrics/Gynecology Southampton 184658-3W May 3, 2017
Barsi, James Michael Orthopedic Surgery Stony Brook 242454-7B May 10, 2017
Iannolo, Maria Theresa Orthopedic Surgery East Syracuse 257969-6B May 3, 2017
Klein, Guy Orthopedic Surgery Geneva 282557-8W May 5, 2017
Cavalier, Yefim Nerri Yushvayev Pain Management Rego Park 274176-7B May 2, 2017
Jean, Felix Pierre Carousse Physical Medicine/Rehabilitation Brooklyn 152032-9I May 25, 2017
Ebrahimi-Fard, Behrooz Psychiatry Glens Falls 220273-7W May 22, 2017
Gorecki, Amanda Andrea Psychiatry, Child and Adolescent Psychiatry Stony Brook 281069-5W May 31, 2017
Cain, Jennifer Lynn Psychology Buffalo S21450-2W May 11, 2017
Frances, Erika Psychology Latham S15500-2I May 11, 2017
Kragness, Miriam Elizabeth Psychology Brooklyn S15596-0B May 11, 2017
Lyden, Ashley Ann Psychology New York S21467-6W May 11, 2017
Sasson-Gelman, Edie Joy Psychology New York S21599-6W May 11, 2017
Cherukuri, Pallavi Radiology – Diagnostic Radiology New York 283471-1W May 2, 2017
Sahr, Meghan Elizabeth Radiology – Diagnostic Radiology Latham 282191-6W May 31, 2017
Applewhite, Megan Kunz Surgery Albany 284351-4W May 5, 2017
Caliste, Xzabia Annette Surgery – General Vascular Surgery Albany 267098-2W May 31, 2017
Choi, Lynn Young Surgery Albany 282247-6W May 31, 2017
Chismark, Anthony David Surgery, Colon/Rectal Surgery Albany 265038-0W May 22, 2017
Giuffrida, Michael Joseph Surgery Greenvale 257065-3W May 2, 2017
Shahani, Rohit Bhojo Surgery, Thoracic Surgery Poughkeepsie 220150-7W May 19, 2017
Zaman, Jessica Afrose Surgery Albany 285827-2W May 31, 2017
Capello, Seth Alexander Urology Saratoga Springs 238890-8W May 5, 2017
Wachterman, Jared Behn Urology Fairport 285619-3W May 17, 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"


Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.

 

Kenneth J. Munnelly
Chair