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Subject Number 046-970 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

August 4, 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
Batiste, Rebecca Cydney Anatomic Pathology, Clinical Pathology Stony Brook 284751-5W July 3, 2017
Ko, Edwin Young Anatomic Pathology, Clinical Pathology Oneonta 190320-2W July 14, 2017
Akuamoah, Latrice Akosua Anesthesiology, Pain Management Staten Island 279631-6W July 3, 2017
Bernhardt, Mark Houck Anesthesiology New York 182499-4W July 31, 2017
Bush, Sarah Dillon Anesthesiology Binghamton 288768-5W July 14, 2017
Chang, Francis Meng-Jian Anesthesiology Henrietta 288940-0W July 28, 2017
Heller, Paul Jan Anesthesiology Long Island City 150045-3W July 31, 2017
Khan, Tanzina Anesthesiology, Pain Management New Hyde Park 271526-6W July 3, 2017
Kralovic, Sarah Anne Anesthesiology Rochester 280609-9W July 28, 2017
Mitchell, Kaitlyn Deirdre Anesthesiology Rochester 286758-8W July 28, 2017
Qian, Sascha Anesthesiology, Pain Management Utica 287812-2W July 24, 2017
Stahl, Rachel Elizabeth Anesthesiology Rochester 288629-9W July 28, 2017
Williams, Mark Richard Anesthesiology Pittsford 286923-8W July 28, 2017
Winston, Roy Stuart Anesthesiology Long Island City 256382-3W July 31, 2017
Yin, Shichen Anesthesiology Rochester 283577-5W July 28, 2017
Abdel-Migeed, Muhammad Magdy Cardiovascular Disease, Clinical Cardiac Electrophysiology E Syracuse 195829-7W July 17, 2017
Singh, Sandeep Cardiovascular Middletown 217719-4B July 31, 2017
Blickman, Johan Gerard Diagnostic Radiology, Pediatric Radiology Rochester 259641-9W July 28, 2017
Chaturvedi, Abhishek Diagnostic Radiology Rochester 271382-4W July 28, 2017
Chaturvedi, Apeksha Diagnostic Radiology, Pediatric Radiology Pittsford 269105-3W July 28, 2017
Hobbs, Susan K. Diagnostic Radiology Rochester 254411-2W July 28, 2017
Kaproth-Joslin, Katherine Anne Diagnostic Radiology Rochester 263591-0W July 28, 2017
Klionsky, Nina Beth Diagnostic Radiology, Pediatric Radiology Rochester 157783-2W July 28, 2017
Lui, Paul Diagnostic Radiology, Pediatric Radiology New York 192521-3B July 3, 2017
O’Connor, Daniel Turpin Diagnostic Radiology Pittsford 262434-4W July 28, 2017
Patel, Arpit Diagnostic Radiology Williamsville 282628-7W July 17, 2017
Potchen, Michael James Diagnostic Radiology Rochester 270451-8W July 28, 2017
Schiffman, Scott Ross Diagnostic Radiology Rochester 259641-9W July 28, 2017
Sharma, Ashwani Kumar Diagnostic Radiology, Vascular and Interventional Radiology Rochester 256343-5W July 28, 2017
Anderson, Caitlin Victoria Emergency Medicine Johnson City 253329-7W July 14, 2017
Black, Trevor Emergency Medicine Johnson City 266458-9W July 14, 2017
Chen, Wei Ku Emergency Medicine New York 235717-6W July 18, 2017
Balguri, Sumanth Family Practice Owego 288945-9W July 14, 2017
Capuano, Matthew Dominic Family Practice Hilton 258762-4W July 28, 2017
Costello, Thomas Edward Family Practice West Sayville 267336-6W July 3, 2017
Gomez, Brenda Carmen Family Practice Glen Cove 225442-3W July 18, 2017
Hussain, Syed Shabahat Family Practice Stony Brook 244990-8W July 3, 2017
Nazir, Kausar Family Practice Middletown 287247-1W July 20, 2017
Saravanan, Rohith Family Practice Clarence Center 273180-0W July 24, 2017
Yousuf, MD Abdullah Family Practice New Hyde Park 271621-5W July 5, 2017
Chen, On Internal Medicine, Cardiovascular Disease, Interventional Cardiology Stony Brook 278688-7W July 3, 2017
Chow, Robert Al-Fung Internal Medicine Stony Brook 279420-4W July 3, 2017
Daccueil, Farah Internal Medicine Stony Brook 285062-6W July 3, 2017
Hopkin, Justin Lee Internal Medicine Rochester 285157-4W July 5, 2017
Lachant, Daniel Joseph Internal Medicine, Pulmonary Diseases Rochester 267624-5W July 28, 2017
Legros, Robert Packard Internal Medicine Rochester 285521-1W July 28, 2017
Levy, David Samuel Internal Medicine Rochester 273377-2W July 31, 2017
Morganstern, Bradley Michael Internal Medicine, Gastroenterology Stony Brook 258461-3B July 3, 2017
Pasha, Ibrahim Raza Internal Medicine, Nephrology Newburgh 288684-4W July 17, 2017
Pesigan, Ramon Julian Montilla Internal Medicine, Sports Medicine New York 271297-4W July 18, 2017
Solny, Meyer N. Internal Medicine, Gastroenterology New York 124712-1B July 18, 2017
Yu, Diana Internal Medicine Stony Brook 279419-6W July 3, 2017
Kolkin, Seth Neurology Rochester 174244-4W July 18, 2017
Pavlakis, Pantelis Parissis Neurology New York 278941-0W July 18 2017
Zidan, Awss Neurology Syracuse 285788-6W July 14, 2017
Goertzen, Danielle Kristy Lapra Obstetrics/Gynecology Glens Falls 236565-8W July 14, 2017
Lazar, Sarah Jane Obstetrics/Gynecology Southampton 212313-1W July 3, 2017
Rolston, Florence Regina Obstetrics/Gynecology Southampton 205121-7W July 3, 2017
Russman, Caryn Rebecca Obstetrics/Gynecology Southampton 285434-7W July 3, 2017
Bessette, Angela Pugliese Ophthalmology Rochester 285682-1W July 28, 2017
Cochrane, Andrew Ophthalmology Cheektowaga 287848-6W July 14, 2017
Lerrick, Andrew James Otolaryngology Johnson City 171001-1B July 14, 2017
Anthony, Shawn Garrett Orthopedic Surgery New York 278138-3W July 18, 2017
Harbin, Alexander Ryan Orthopedic Surgery Albany 279401-4W July 20, 2017
Kopko, Kevin Anthony Orthopedic Surgery East Syracuse 272408-6W July 5, 2017
Unis, Douglas Brydan Orthopedic Surgery New York 232089-3W July 18, 2017
Weiss, Richard Alan Orthopedic Surgery Saint James 180728-8B July 3, 2017
Delsignore, Catherine Anne Pediatrics Queensbury 269948-6W July 14, 2017
McTiernan, Eugene James Pediatrics Warrensburg 192063-6W July 17, 2017
Kaplan, Richard Scott Physical Medicine/Rehabilitation Monroeville 285801-7I July 3, 2017
Leung, Eric Physical Medicine/Rehabilitation, Pain Management Manhasset 267257-4I July 3, 2017
Papa, Edward Physical Medicine/Rehabilitation Stony Brook 273202-2W July 3, 2017
Christodoulou, Christopher Psychology Stony Brook S12708-4W July 31, 2017
Deneen, Todd Psychology Springfield S22010-3I July 31, 2017
Durant, Richard Peter, Jr. Psychology Keene S20217-6B July 31, 2017
Kent, Jonathan Scott Psychology Plainview S21846-1B July 31, 2017
Kugel, Elina Psychology Woodmere S21703-4I July 31, 2017
Meyers, Robert S. Psychology Bayside S18595-9W July 31, 2017
Akladious, Ihab Akladious Milik Radiology – Diagnostic Radiology Rochester 270911-1W July 28, 2017
Becker-Weidman, David Radiology – Diagnostic Radiology Williamsville 289058-0W July 17, 2017
Bevilacqua, Thomas Andrew Radiology – Diagnostic Radiology Williamsville 288107-6W July 26, 2017
Cole, Adam Joseph Radiology – Diagnostic Radiology Williamsville 288125-8W July 17, 2017
Demarco, Joseph Christopher Radiology – Diagnostic Radiology Latham 285936-1W July 28, 2017
Iqbal, Arbab Zafar Radiology – Diagnostic Radiology Rochester 282210-4W July 28, 2017
Manfredi, Brian John Radiology – Diagnostic Radiology Glens Falls 288122-5W July 10, 2017
Prober, Allen Samuel Radiology – Diagnostic Radiology Monroe 287998-9W July 19, 2017
Thompson, Joel Peter Radiology – Diagnostic Radiology Rochester 267699-7W July 28, 2017
Gibson, Neil William Carlton Surgery, Colon/Rectal Surgery Johnson City 277393-5W July 14, 2017
Hall, Keneth Newton Surgery Garden City 262710-7W July 28, 2017
Igboeli, Ifeoma Jacqueline Surgery Jamestown 253048-3B July 14, 2017
Kostun, Zachary William Surgery – General Vascular Surgery Queensbury 288677-8W July 10, 2017
Makartchuk, Bogdan Surgery Hampton Bays 239761-0B July 18, 2017

* Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations 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