Subject Numbers Regarding Health Provider Authorizations
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