Subject Numbers Regarding Health Provider Authorizations
October 10, 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 authorization(s) from the Workers’ Compensation Board.
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 |
|---|---|---|---|
| Abdou, Awny A. | Newark | 132096-9W | August 15, 2017 |
| Alkaitis, Damanhuri Daniel | Annapolis | 127716-9W | August 15, 2017 |
| Anand, Anuradha | New York | 271954-0W | August 15, 2017 |
| Ankolekar, Anil Krishnarao | Briarcliff Manor | 142257-5W | August 15, 2017 |
| Asher, Bernard W. | Batavia | 096013-8B | August 15, 2017 |
| Ashraf, Mohammad Bilal | Auburn | 271906-0W | August 15, 2017 |
| Babiarz, Mark Gerard | Utica | C05571-7W | August 15, 2017 |
| Bahramipour, Phillip F. | Montclair | 196056-6W | August 15, 2017 |
| Balis, Peter | Cortlandt | 085394-5W | August 16, 2017 |
| Becker, Mary Alice | Bronxville | 142887-9W | August 17, 2017 |
| Bell, James Edward | Saratoga Springs | 223796-4W | August 16, 2017 |
| Bianchi, Anthony Joseph | Cheektowaga | C07576-4W | August 16, 2017 |
| Bienenstock, Harry | Rockaway Park | 081107-5W | August 16, 2017 |
| Bloomgarden, Charles I. | Huntington | 086064-3W | August 16, 2017 |
| Bluth, Mordecai | Woodmere | 097883-3W | August 16, 2017 |
| Bouzouki, Maria D. | New York City | 133267-5W | August 16, 2017 |
| Buss, Jason Charles | Shaker Heights | 248134-9W | August 16, 2017 |
| Bustillo, Jorge | Mountville | 273546-2W | August 16, 2017 |
| Caccamise, William Charles | Pittsford | 046394-3W | August 16, 2017 |
| Casiero, Deena C. | Lake Success | 256909-3W | August 16, 2017 |
| Catanzarita, Francis Joseph | Skaneateles | 151909-9W | August 16, 2017 |
| Claps, Daniel K. | Brooklyn | C04077-6B | August 16, 2017 |
| Cornell, James S. | Paramus | 178686-2W | August 16, 2017 |
| Cropp, Michael Walter | Williamsville | 183568-5W | August 16, 2017 |
| Dale, Janis L. | Williamsville | 151925-5W | August 16, 2017 |
| Daniello, Joseph | Brooklyn | 145402-4W | August 16, 2017 |
| Dannis, Irwin Marvin | Hartsdale | 086265-6W | August 16, 2017 |
| Datta, Ujjwal Kumar | Bound Brook | P05745-6B | August 16, 2017 |
| Dickerson, Robert Cushman | Pittsford | 076974-5B | August 1, 2017 |
| Dubin, Michael R. | Glen Cove | 086390-2W | August 16, 2017 |
| Duenas, Angelica | Marina Del Ray | 164545-6W | August 16, 2017 |
| Fishman, Harvey | Hewlett | 108447-4W | August 16, 2017 |
| Fleishman, Philip Robert | Holbrook | 087740-7W | August 17, 2017 |
| Foley, Steven K. | Rochester | C03787-1B | August 17, 2017 |
| Fraier, Ronald Allen | Yonkers | 097892-4W | August 17, 2017 |
| Frank, Bradford Lawrence | San Diego | 191390-4W | August 17, 2017 |
| Giacobbe, Francesco | Buffalo | 089999-7W | August 17, 2017 |
| Gigliotti, Benjamin Joseph | Rochester | 270728-9W | August 17, 2017 |
| Gold, Kelvin Ang | Olean | 266141-1W | August 17, 2017 |
| Goldberg, Richard S. | Brooklyn | 123389-9W | August 17, 2017 |
| Golier, Francis Carl | Bronx | 107008-5W | August 17, 2017 |
| Gomez, Danny J. | New York | P06626-7W | August 17, 2017 |
| Gotta, Alexander W. | Great Neck | 086327-4W | August 17, 2017 |
| Grossman, Harold Irving | Delray Beach | 089317-2W | August 17, 2017 |
| Gupta, Payal Patel | Lyndhurst | 265034-9W | August 17, 2017 |
| Haller, Eugene Z. | East Hampton | C02066-1W | August 17, 2017 |
| Hayes, Robert Basil | Avon | 083447-3W | August 17, 2017 |
| Hogan, Larry M. | Thendara | C02766-6W | August 17, 2017 |
| Holt, Peter David | Honolulu | 224100-8B | August 17, 2017 |
| Howe, David Emerson | Syracuse | C04531-2W | August 17, 2017 |
| Inglis, Allan Evans | Rye | 078970-1W | August 17, 2017 |
| Kalfus, Ira N. | New York | 178151-7W | August 17, 2017 |
| Kaplan, Jeffrey Gene | Highland Mills | 125400-2W | August 17, 2017 |
| Kerner, David | Poughkeepsie | 187657-2W | August 17, 2017 |
| Kimmelman, Charles Paul | New York | 165440-9W | August 17, 2017 |
| Klausner, Stanley K. | Lake Worth | 101835-7W | August 17, 2017 |
| Knipp, John E. | New Windsor | 116622-2B | August 17, 2017 |
| Krisztinicz, Irene L. | Williamsville | 128218-5W | August 17, 2017 |
| Lanfranchi, Ronald Gregory | New York | C05184-9B | August 17, 2017 |
| Lowenkron, Stuart Edwin | Northport | 184946-2W | August 17, 2017 |
| Madom, Ian Anthony | East Syracuse | 256162-9W | August 17, 2017 |
| Matal, Marla Lorena | Ann Arbor | 280951-5W | August 17, 2017 |
| Menard, Pierre Riviere Carnot | Great Neck | 105174-7W | August 17, 2017 |
| Mohuchy, Sophia Larisa | Elmont | C09473-2W | August 17, 2017 |
| Monica, Julianne H. | Wall | C11598-2W | August 17, 2017 |
| Neuschatz, Joseph J. | Port Jefferson | 091849-0W | August 17, 2017 |
| Noonan, John D. | Slingerlands | 120484-1W | August 18, 2017 |
| Ostrowski, Walter | Bronx | C07543-4B | August 18, 2017 |
| O’Sullivan, John Alfred | Rochester | 114924-4W | August 18, 2017 |
| Pacholka-Moran, James R. | New York | 174644-5W | August 18, 2017 |
| Perala, Padmavathi R. | East Amherst | 126638-6W | August 18, 2017 |
| Petrone, Joseph J. | New York | 141984-5W | August 18, 2017 |
| Pribis, Anneke B. | Galway | 236225-9B | August 18, 2017 |
| Remington, Margot | Vero Beach | 211434-6W | August 18, 2017 |
| Reyes, Gregorio V. | Glen Head | 111543-5W | August 18, 2017 |
| Roque, Romeo V., Jr. | Longmeadow | 113746-2W | August 18, 2017 |
| Saha, Usha | Plattsburgh | 165629-7W | August 18, 2017 |
| Sarpel, Suleyman Celalettin | Grand Island | 181947-3W | August 18, 2017 |
| Schenck, John F. | Voorheesville | 135183-2W | August 18, 2017 |
| Shibutani, Kinichi | Mount Kisco | 091310-3W | August 18, 2017 |
| Simpson, George True, II | Buffalo | 184484-4W | August 18, 2017 |
| Skiff, John Victor, Jr. | Castleton on Hudson | 076699-8W | August 18, 2017 |
| Spector David B | Pittsford | 131833-6W | August 18, 2017 |
| Staropoli, Robert A. | New City | C02603-1B | August 18, 2017 |
| Steffner, Robert John | New York | 279337-0W | August 18, 2017 |
| Taggart, Christopher Eugene | Rochester | 263893-0W | August 18, 2017 |
| Tolchinsky, Valery | New York | 169840-6W | August 18, 2017 |
| Tu, Ann Shine | Seattle | 247051-6W | August 18, 2017 |
| Zygmunt, John Joseph | Johnson City | 112861-0W | August 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.
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.
Clarissa M. Rodriguez
Chair