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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. 046-962

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

Date: July 13, 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
Anand, Chandni Kaur Sarasota 184567-6W May 8, 2017
Anandasabapathy, Indra Staten Island 117284-0W May 8, 2017
Araujo, Robin Huntington C03574-3B May 8, 2017
Arenas, Gilbert D. Potsdam 161536-8W May 8, 2017
Bansal, Jagdish P. Bronx 111144-2W May 8, 2017
Bapat, Aruna Vikas Greer 152656-5B May 8, 2017
Barzaga, Hazrati Naile Rancho Cucamonga 246501-1B May 8, 2017
Ben-Ezra, Jeffrey Mark Marlboro C07562-4W May 8, 2017
Borgstrom, David Carl Cooperstown 223363-3W May 8, 2017
Brown, George Clifford South Dartmouth 109553-8W May 8, 2017
Burk, Farrell Fern Brooklyn C07402-3W May 8, 2017
Cain, Lana Howard Rochester 208768-2W May 8, 2017
Campisi, Carmen Anthony Howard Beach C04008-1B May 8, 2017
Carney, Nancy Draper Warrensburg 186957-7W May 8, 2017
Carter, David Alexander Manlius 216065-3B May 8, 2017
Cohen, Alan Lawrence Bay Shore 157502-6B May 8, 2017
Cullen, Christine Anne Concord 188077-2W May 8, 2017
Dhandayutham, Karur S. Forest Hills 140864-0W May 8, 2017
Dioguardi, Orestes Joseph North Bellmore C06589-8W May 8, 2017
Dooley, Sean Stony Brook 278079-9W May 8, 2017
Dygert, Paula Aileen Afton 230580-3W May 8, 2017
Dzmitryieu, Aliaksandr Johnson City 268775-4W May 8, 2017
Findlay, Helen Marie Orchard Park 134956-2W May 8, 2017
Frankel, Joshua Los Angeles 112313-2W May 8, 2017
Friscia, Marisa Troy 184056-0W May 8, 2017
Gazonas, Olga Astoria C03788-9W May 9, 2017
Ghate, Suresh D. Jupiter 115109-1W May 9, 2017
Gibson, Vanessa Renee Syracuse 262935-0W May 9, 2017
Graham, Galen E., Jr. Southport 164470-7W May 9, 2017
Gross, Marvin L. New York 074818-6W May 9, 2017
Haney, Daniel S. Franklin C09483-1W May 9, 2017
Heimback, Dennis Philip Williamsville 079708-4W May 9, 2017
Hsiao, Chiu-Bin Wexford 189253-8W May 9, 2017
Hussain, Shafkat Allentown 110235-9W May 9, 2017
Joshi, Suhasini S. Tappan 134175-9W May 9, 2017
Kacyrat, Jamal Norwich 155373-4W May 9, 2017
Kahn, Leonard Scarsdale 079055-0W May 9, 2017
Karambelkar, Deepa J. Sewickley 213309-8B May 9, 2017
Kim, Kang Kiel Poughkeepsie 111678-9W May 9, 2017
Kuberka, Norbert J. Buffalo 076803-6W May 9, 2017
Kuperan, Arumugam Potomac 139723-1W May 9, 2017
Lalli, Robert G. New York 152054-3B May 9, 2017
Lee, Francis Youngin New Haven 212949-2W May 9, 2017
Livote, Joanne Suffern 206388-1W May 9, 2017
Logan, Joseph James Bedford Hills 236696-1W May 9, 2017
Longhi, James Joseph Cooperstown 247174-6W May 9, 2017
Lurie, Jerome L. New Rochelle 079676-3W May 9, 2017
Machac, Josef New York 141227-9W May 9, 2017
Mallin, Jason Roger New Hyde Park 212793-4W May 9, 2017
Mazzei, Elizabeth Oconnell Englewood 137097-2W May 9, 2017
McGrimley, William A. Seneca Falls C10441-6B May 9, 2017
McKay, Scott Franklin Lewiston C03094-2W May 9, 2017
Meltzer, Stanley P. Fayetteville 089488-1W May 9, 2017
Miletic, Miroslav Long Island 132352-6W May 9, 2017
Mirchandani, Gautam R. Bedford Hills 236408-1W May 9, 2017
Rabiea, Robert Joe Delray Beach 201713-5W May 10, 2017
Rastogi, Shiv N. Spring Valley 126652-7W May 10, 2017
Rolon, Maria Angeles New York 208494-5W May 10, 2017
Rossi, Dennis Robert Lawrence 103747-2B May 10, 2017
Rothman, Arthur R. Oxford 078184-9W May 10, 2017
Sagerman, Robert Howard Fayetteville 078290-4W May 10, 2017
Singh, Rajesh Kumar Rockville Centre 114210-8W May 10, 2017
Skachkova, Natalia Bronx 237330-6W May 10, 2017
Turner, Kincade Daphne Rochester 269725-8W May 10, 2017
Varughese-Raju, Joyce Somerset 270464-1W May 10, 2017
Veder, Alexander Manalapan 207274-2W May 10, 2017
Veliath, John G. Riverhead 163432-8W May 10, 2017
Wajid, Faiza Hamburg 271789-0W May 10, 2017
Watts, James P. Syracuse 130600-0B May 10, 2017
Webster, Dwight Albert, Jr. Syracuse 137360-4W May 10, 2017
Weiner, David J. New York 120785-1W May 10, 2017
Witt-Bockler, Elsie Marie Myrtle Beach 180772-6W May 10, 2017
Zerfas, Dorene Kay Buffalo 270530-9W May 10, 2017
Mallo, Charles J. Andersonville 132331-0W May 19, 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