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Subject Number 046-981 Newly Authorized Health Care Providers Approved to Render Services to Injured Workers Under the Workers' Compensation Law

Subject Numbers Regarding Health Provider Authorizations

September 8, 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
Patel, Chiraag Dilip Anatomic Pathology, Clinical Pathology Stony Brook 273689-0W August 24, 2017
Cheng, Stephanie I. Anesthesiology New York 269136-8W August 31, 2017
Glassman, Kevin Michael Anesthesiology Syosset 173633-9W August 29, 2017
Gutterman, Aharon Anesthesiology Brooklyn 243503-0W August 10, 2017
Hershey, Michael Allen Anesthesiology West Islip 283977-7W August 9, 2017
Kohler, Matthew Ryan Anesthesiology New York 281571-0W August 31, 2017
Kotlyar, Vitaly Anesthesiology New York 263221-4W August 31, 2017
Lofaso, John Robert Anesthesiology Williamsville 289238-8W August 8, 2017
Miller, Michael Matthew Anesthesiology Syracuse 287245-5W August 8, 2017
Naik, Ravi Anesthesiology, Pain Management Nanuet 243380-3B August 7, 2017
Nubani, Lu’ay Ismail Anesthesiology Syracuse 286948-5W August 22, 2017
Panda, Kunal Anesthesiology, Critical Care Medicine Rochester 285844-7W August 18, 2017
Schultz, Todd Allen Anesthesiology, Pain Management Buffalo 237397-5W August 4, 2017
Shekane, Paul Raymond Anesthesiology New York 277808-2W August 9, 2017
Coreth, Robert Frank Chiropractic New York C02363-2W August 14, 2017
Croucher, Edwin Ernest, III Chiropractic Baldwinsville C12945-4W August 14, 2017
Erickson, Alex Chiropractic Maitland C12966-0I August 14, 2017
Evans, Matthew Robert Chiropractic North Tonawanda C12846-4W August 14, 2017
Gladysz, Stephen Victor Chiropractic Amherst C12745-8B August 14, 2017
Kang, Damien Seongmin Chiropractic New York C12891-0B August 14, 2017
Swimelar, Matthew Carl Chiropractic Horseheads C12874-6I August 14, 2017
Yeung, Homan Chiropractic Fresh Meadows C12058-6B August 14, 2017
Strachan, Dina Dawn Dermatology New York 218802-7B August 10, 2017
Belden, Clifford John Diagnostic Radiology, Neuroradiology New City 225791-3W August 7, 2017
Janssen, Henry Herman, Jr. Diagnostic Radiology Mount Kisco 288960-8B August 17, 2017
Jungreis, Charles Andrew Diagnostic Radiology, Neuroradiology Huntington 148994-7W August 7, 2017
Taffel, Myles Todd Diagnostic Radiology New York 286006-2B August 9, 2017
Eraso, Daniel Ruben Emergency Medicine Stony Brook 288550-7W August 11, 2017
Roman, Christopher Stephen Emergency Medicine Callicoon 260718-2W August 7, 2017
Soto, Cesar Alberto Emergency Medicine Stony Brook 289475-6W August 11, 2017
Thompson, Crystal Nicole Emergency Medicine Stony Brook 288947-5W August 11, 2017
Cocioba, Rares Ion Family Practice New York 259837-3W August 31, 2017
Dahan, Aime Family Practice New York 249402-9W August 31, 2017
Desmarais, Vanessa Toss Family Practice Lake Placid 282357-3I August 31, 2017
Donnelly, Ryan Michael Family Practice Indian Lake 288201-7W August 17, 2017
Fadul, Zaid Family Practice Phoenix 290033-0I August 7, 2017
Gorsline, Spencer Family Practice Derby 270616-6W August 1, 2017
Gutierrez, Sandra M. Family Practice Williamsville 202625-0W August 29, 2017
Handy, Luke Anthony Family Practice Little Falls 219951-1W August 15, 2017
Lacorazza, John William Family Practice Johnson City 264845-9W August 4, 2017
Lonergan, Eric Family Practice Middletown 287843-7W August 9, 2017
Marshall, Keith Morgan Family Practice Verona 267029-7B August 30, 2017
Narine, Tricia Family Practice Syosset 266634-5W August 29, 2017
Rani, Priya Family Practice Valley Stream 283129-5W August 22, 2017
Ritter, Alexander Mackenzie Family Practice Middletown 283647-6W August 30, 2017
Sanchez, Carlos Alfonso Family Practice New York 275285-5W August 7, 2017
Solanki, Shalini Family Practice Valley Stream 284418-1W August 22, 2017
Vohora, Ricky Rajan Family Practice Sands Point 263110-9B August 4, 2017
Yang, Min Family Practice Williamsville 267045-3W August 7, 2017
Ashraf, Sadia Internal Medicine, Endocrinology, Diabetes and Metabolism Syracuse 289009-3W August 10, 2017
Boromee, Patricia Internal Medicine Stony Brook 287408-9W August 11, 2017
Carroll, William Joseph Internal Medicine Stony Brook 290008-2W August 11, 2017
Cheng, Lucy Yang Internal Medicine, Infectious Disease Middletown 274531-3W August 31, 2017
Cho, Jacob Internal Medicine, Geriatric Medicine Stony Brook 289491-3B August 4, 2017
Collazo, Tyson Internal Medicine, Gastroenterology Stony Brook 269178-0B August 11, 2017
Dave, Manish Jayant Internal Medicine Mount Kisco 286892-5B August 17, 2017
D’Souza, Lionel Santos Internal medicine, Gastroenterology Stony Brook 272023-3W August 7, 2017
Ford, Joel Stephen Internal Medicine Ithaca 289330-3W August 7, 2017
Gemmill, Julie Anne Lynne Internal Medicine Stony Brook 289334-5W August 11, 2017
Gorgone, Matthew John Internal Medicine Rochester 281056-2W August 18, 2017
Horowitz, Mitchell Lloyd Internal Medicine Staten Island 175344-1B August 9, 2017
Huang, Li Internal Medicine Stony Brook 289413-7W August 11, 2017
Liss, Yaakov Y. Internal Medicine, Nephrology Mount Kisco 269206-9B August 7, 2017
Mahler, Stewart Christopher Internal Medicine West Henrietta 287718-1W August 18, 2017
Niyazov, Daniil Internal Medicine Delmar 288680-2W August 31, 2017
Nowosielski, Izabela Internal Medicine Pearl River 238966-6W August 31, 2017
Ottaviano, Lorenzo Francis Internal Medicine Stony Brook 289989-6W August 24, 2017
Patrawala, Sara Sugra Internal Medicine Victor 286726-5W August 18, 2017
Rakowski, Ewa Monika Internal Medicine, Pulmonary Disease Stony Brook 270329-6W August 24, 2017
Rana, Gurinder Singh Internal Medicine, Critical Care Medicine, Cardiovascular Disease Hicksville 280185-0W August 15, 2017
Rayner, Carroll Anne Internal Medicine Mount Kisco 191333-4B August 17, 2017
Rus, Krzysztof Andrzej Internal Medicine Stony Brook 289704-9W August 21, 2017
Senner, Jillian Internal Medicine Ithaca 289169-5W August 7, 2017
Soloveichik, Yitzchak Zev Internal Medicine Johnson City 280012-6W August 22, 2017
Tandon, Pragati Internal Medicine, Hematology, Medical Oncology Huntington 263189-3W August 10, 2017
Walker, Marcellus Andre Internal Medicine New York 189578-8B August 9, 2017
Wang, Xiaoting Internal Medicine Stony Brook 289870-8W August 24, 2017
Williams, Alexander Paul Internal Medicine Johnson City 290007-4W August 22, 2017
Wolfe, McCafferey Laura Ann Internal Medicine, Cardiovascular Disease East Setauket 278182-1B August 24, 2017
Wyluda, Edward John Internal Medicine East Syracuse 289014-3W August 7, 2017
Birk, Daniel Meier Neurological Surgery Stony Brook 287264-6W August 11, 2017
Ryan, Joshua Everette Neurological Surgery West Islip 287395-8W August 23, 2017
Cherukuri, Ramesh Babu Neurology New Hartford 283218-6B August 17, 2017
King, Christopher Michael Neurology Ithaca 288616-6W August 7, 2017
Mazhari, Amir Neurology Buffalo 234311-9W August 31, 2017
Villanueva, Raissa Neurology Rochester 254706-5W August 29, 2017
Kang, Patrick Sung Nuclear Medicine New York 236969-2W August 31, 2017
Memon, Hafsa Umar Obstetrics/Gynecology Stony Brook 287426-1B August 7, 2017
Spataro, Joseph Angelo Obstetrics/Gynecology Southampton 211657-2W August 11, 2017
Zhang, Jenny Obstetrics/Gynecology Stony Brook 289218-0W August 11, 2017
Kholdarov, Boris Occupational Medicine Bronx 287060-8W August 18, 2017
Bessette, Matthew Orthopedic Surgery Rochester 288040-9W August 10, 2017
Macaulay, Alec Ayer Orthopedic Surgery Ithaca 289142-2W August 22, 2017
Markwith, Andrew Neil Orthopedic Surgery Watertown 289825-2W August 8, 2017
Nielsen, Natalie Marie Orthopedic Surgery Watertown 282758-2W August 8, 2017
Popper, Joseph Edward Orthopedic Surgery Amsterdam 289182-8W August 22, 2017
Ricciardi, Benjamin Orthopedic Surgery Rochester 260357-9W August 18, 2017
Schreck, Michael Joseph Orthopedic Surgery East Syracuse 288410-4W August 10, 2017
Zimmerman, Joseph Paul Orthopedic Surgery Albany 288331-2W August 1, 2017
Obourn, Chelsea Ann Otolaryngology Latham 287697-7W August 31, 2017
Flatau, Irene Ruth Pediatrics Glens Falls 185478-5W August 21, 2017
Henderson, Tracey Ann Pediatrics Tupper Lake 258019-9W August 4, 2017
Caramore, Mark Andrew Physical Medicine/Rehabilitation Vestal 287785-0W August 7, 2017
Feuerman, Craig Robert Physical Medicine/Rehabilitation New York 235598-0B August 31, 2017
John, Liju Skaria Physical Medicine/Rehabilitation Syracuse 287533-4W August 4, 2017
Slukhinsky, Yekaterina Fill Physical Medicine/Rehabilitation Brooklyn 167572-7B August 7, 2017
Reish, Richard Garett Plastic Surgery New York 273489-5W August 29, 2017
Frankel, Marc Robert Podiatry Milford P05653-2I August 1, 2017
Ganjian, Afshin Podiatry Brooklyn P05300-0W August 1, 2017
Kalmar, Garrett Joseph Podiatry Huntington P06835-4B August 1, 2017
Powers, Christopher Paul Podiatry New Hartford P06671-3B August 15, 2017
Raina, Shweta Podiatry New Hyde Park P06638-2B August 2, 2017
Romani, Joseph William Podiatry Vestal P06787-7B August 2, 2017
Tiglio, Caroline Podiatry White Plains P06278-7W August 2, 2017
Caceda, Ricardo Psychiatry Stony Brook 288527-5W August 11, 2017
Degeyter, Kyle Jacob Radiology – Diagnostic Radiology Latham 286522-8W August 31, 2017
Loqman, Tareen Radiology – Diagnostic Radiology Elmira 284965-1W August 15, 2017
Shroyer, Robert Joseph Radiology – Diagnostic Radiology Stony Brook 288247-0W August 24, 2017
Tischler, Brian Thomas Radiology – Diagnostic Radiology Johnson City 282504-0W August 7, 2017
Crawford, Joel Matthias Surgery Stony Brook 287637-3W August 24, 2017
Gendy, Amir Samir Zakhary Surgery, Surgical Critical Care New Hyde Park 262950-9W August 18, 2017
Laser, Adriana Surgery Niskayuna 283562-7W August 9, 2017
Singh, Robinder Paul Surgery Great Neck 270648-9W August 31, 2017
Chehab, Mahmoud Riad Urology Syracuse 288372-6W August 7, 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