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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. 046-955

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

Date: June 23, 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
Patt, Stephen Santa Monica 154809-8W March 30, 2017
Feinman, Lewis M. Haworth P02036-3I April 3, 2017
Golden, Richard L. Centerfort 083758-3W April 3, 2017
Leshen, Stanley B. Suffern P01858-1W April 3, 2017
Mittman, Herbert Bronx P02125-4W April 3, 2017
Namm, Lawrence Brooklyn P01622-1W April 3, 2017
Packer, Allen Surfside P02106-4I April 3, 2017
Rosenberg, Leonard Garden City P01870-6W April 3, 2017
Siddiqui, Mohamed Yusuf A. Buffalo 136544-4W April 3, 2017
Rindfleish, Burton Yonkers 092384-7W April 3, 2017
Adelfio, Mary Ann Larchmont 151843-0W April 10, 2017
Archer, Herbert Michael Manhassett 106973-1W April 10, 2017
Anyadike, Chukwuma Paul Dunkirk 277823-1W April 10, 2017
Bachar, Jean A. Newburgh 260473-4W April 10, 2017
Ballantine, Edward J. Peru 130238-9W April 10, 2017
Benazzi, Robert Bomeda Rochester 140441-7W April 10, 2017
Boselli, Lucia White Plains 189554-9W April 10, 2017
Botelho, Richard James Rochester 151813-3W April 10, 2017
Brecher, Michael Justin Boca Raton 095066-7W April 10, 2017
Brownstein, Lance Jeffrey Clinton 188067-3W April 10, 2017
Burns, Lucille Reneau New York 071357-8W April 10, 2017
Burns, Stacy J. Rochester 246130-9W April 10, 2017
Camarena, Jacinto, III Voorhees 262132-4W April 10, 2017
Cassaro, Sebastiano Visalia 166974-6W April 10, 2017
Che, Lien Kuei Davis 244395-0W April 10, 2017
Chhabra, Vijay Kumar Jackson Heights 154835-3W April 10, 2017
Colello, Roseann M. Clifton 191890-3W April 10, 2017
Cucco, Robert A. Great Neck 157427-6W April 10, 2017
Delaney, Denise Manhasset C04203-8W April 10, 2017
D'Haenens, Matthew Allan Littleton 269828-0W April 10, 2017
Doherty, Kevin John Oceanside C10340-0W April 10, 2017
Doshi, Daivesh Hicksville 206799-9W April 10, 2017
Drew, James T. Cobleskill 082845-9W April 10, 2017
Eaton, Richard G. New Rochelle 094516-2W April 10, 2017
Eddi, David N. Brooklyn 132203-1W April 10, 2017
Ganguly, Joya New Hartford 261243-0B April 10, 2017
Green, Stephanie A. Dix Hills 157814-5W April 10, 2017
Hall, Joseph Edward Valhalla 167669-1W April 10, 2017
Hochberg, Fred Palm Beach Gardens 086428-0I April 10, 2017
Henriquez, Barbara Syracuse 229038-5W April 10, 2017
Holdnack, Eleanor Rose Laurel C12451-3B April 11, 2017
Hughes, Grace D. Brooklyn 091223-8W April 11, 2017
Incorvaia, Antonino G. Highland C10392-1B April 11, 2017
Jacobs, Richard L. Delmar 120941-0W April 11, 2017
Jaffee, Robert M. Williamsburg 130811-3W April 11, 2017
Jonas, Sterling Floral Park 072781-8W April 11, 2017
Kaleka, Laurent Jean Rochester 157271-8W April 11, 2017
Karatas, Nevzat Wilmington 098264-5W April 11, 2017
Kaufman, James S. Staten Island C01915-0B April 11, 2017
Kennedy, Debbie A. Castleton on Hudson 176438-0B April 11, 2017
Kessler, Howard Shorts Hills 107727-0W April 11, 2017
Kleiman, Andrew Michael Winter Park 216368-1I April 11, 2017
Lambert, Robert Arthur Cortland 168613-8W April 11, 2017
Lampert, Michael David New York 102401-7W April 11, 2017
Lundie, John F. Valley Stream 105110-1W April 11, 2017
Matuszczak, Richard J. East Long Meadow C11065-2I April 11, 2017
McGovern, Matthew Michael Williamsville C12463-8I April 11, 2017
Mc Kee, Robert Laurence Poughkeepsie 084236-9W April 11, 2017
Medley, Caleb Franklin, Jr. Suffolk 097870-0B April 11, 2017
Mejia, William Y. Bronx 133211-3W April 11, 2017
Memoli, Richard Eugene Bronx 106200-9W April 11, 2017
Menge, Erich Emmanuel Delray Beach C09561-4I April 11, 2017
Misciagna, Sean Michael White Plains 245103-7B April 12, 2017
Moses, Arnold M. Syracuse 077304-4W April 12, 2017
Nah, Jialin See Bath 259911-6W April 12, 2017
Nahm, Frederick K. New York 253849-4B April 12, 2017
Okonkwo, Chinwe Faustina Brooklyn 200487-7W April 12, 2017
Omiatek, Debra M. Lewiston 188148-1W April 12, 2017
Paraiso, Joel I. Orosa Marlboro 191123-9W April 12, 2017
Pochaczevsky, Rubem Palm Harbor 083112-3W April 12, 2017
Puleo, James Harry Albany 088175-5B April 12, 2017
Ragone, Filippo Sabatino Valley Stream C09216-5W April 12, 2017
Rao, Mylar B. R. Poughkeepsie 104995-6B April 12, 2017
Raskin, Raymond Adrian New York 046603-7W April 12, 2017
Ryan, Rodney B. Southampton 136309-2W April 12, 2017
Saltzman, Martin New Hartford 093558-5W April 12, 2017
Schrom, Michael Schenectady 163699-2B April 12, 2017
Sharma, Mukesh Merrick 154752-0W April 12, 2017
Shiu, Karen New York C12445-5B April 12, 2017
Shnouda, Joseph F. New Smyrna Beach 245909-7W April 12, 2017
Sohn, David Lawrence 080536-6W April 12, 2017
Stoloff, Randy S. Plattsburgh 188385-9W April 12, 2017
Subietas, Mayol Antonio Brooklyn 107786-6W April 12, 2017
Tadoori, Pandu Rangaiah Baldwin 140726-1W April 12, 2017
Tesoriero, Anthony J. Birmingham 158754-2W April 12, 2017
Till, Steven Brooklyn C06152-5W April 12, 2017
Turner, James William Clifton 148512-7W April 12, 2017
Vasudevan, Prasanna Poorna Garden City 269778-7W April 12, 2017
Weiner, Jamie Scott Corning 141180-0B April 12, 2017
Wellenstein, David E. Sauquoit 132617-2W April 12, 2017
Wexler, Orren Rochester 262947-5W April 12, 2017
Wilkinson, Carol Williams Bronx 137950-2B April 12, 2017
Yim, Sung C. Sandspoint 124822-8W April 12, 2017
Yoon, Edward Bumno Watervliet 227431-4W April 12, 2017
Leader, Bradley Stephen Auburn C08312-3W April 12, 2017
Kaplan, Ronald Bronxville 137711-8W April 21, 2017
Koslow, Alan Centerville 170371-9W April 21, 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