Subject Numbers Regarding Health Provider Authorizations
November 6, 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 |
|---|---|---|---|
| Aberfeld, Donald Cecil | New York | 093100-6W | September 12, 2017 |
| Abramovici, Luigia Constantiana | Forest Hills | 187372-8W | September 12, 2017 |
| Adenupe, Olumade Adebambo | Marietta | 262087-0W | September 12, 2017 |
| Alyskewycz, Roman Nicolaus | Glen Head | 100649-3W | September 12, 2017 |
| Batash, Maria V. | Forest Hills | 154071-5W | September 12, 2017 |
| Bauer, Clifford Topham | Jamestown | 077886-0W | September 12, 2017 |
| Bauer, Lewis | Massapequa | C04126-1W | September 12, 2017 |
| Beach, Brian W. | Owego | 120871-9W | September 12, 2017 |
| Beatty, Susan Marie | Warwick | 202537-7W | September 12, 2017 |
| Benson, Beth Joan | Rochester | 172767-6W | September 12, 2017 |
| Bivona, John C., Jr. | Dover Plains | 103645-8W | September 12, 2017 |
| Borkow, Stephen Edward | New York | 092199-9B | September 12, 2017 |
| Brandt, Arthur | New York | 078572-5W | September 12, 2017 |
| Carlen, Robert Daniel | Stony Brook | 087999-9W | September 12, 2017 |
| Carney, Young Kimberly | Ithaca | 253742-1W | September 12, 2017 |
| Carroll, Jennifer Kate | Aurora | 214505-0W | September 12, 2017 |
| Chan, Ming Cheong Derek | Denver | 106299-1W | September 12, 2017 |
| Chiu, Chin Ting | New York | 137504-7W | September 12, 2017 |
| Cimino, Eugene Anthony | Pittsford | 089525-0B | September 12, 2017 |
| Cohen, Michele Beth | Long Beach | C02488-7W | September 12, 2017 |
| Corey, William Christian | Jamestown | 279790-0W | September 12, 2017 |
| Crawford, John Stuart | New Hartford | 176568-4W | September 12, 2017 |
| Damaszek, Marek | Sunrise | 087229-1W | September 12, 2017 |
| Daniels, Lawrence Belvin | Chatham | 279596-1W | September 12, 2017 |
| De Angelis, John | Naples | 083008-3W | September 12, 2017 |
| Dreisinger, Albert | Bronx | 086199-7B | September 12, 2017 |
| Ejazuddin, Shaik | Orlando | 208289-9W | September 12, 2017 |
| Fongue Fongue, Vivien Steves Ca | Binghamton | 272692-5W | September 12, 2017 |
| Ganeles, Robert I. | Woodmere | 083752-6W | September 12, 2017 |
| Goldman, Ira S. | Great Neck | 134699-8W | September 12, 2017 |
| Gonzalez Erwin Gonzales | New York | 111290-3W | September 12, 2017 |
| Grolnick, Lawrence Ely | White Plains | 083382-2W | September 12, 2017 |
| Gusenoff, Beth Renee | Pittsburgh | P05650-8W | September 12, 2017 |
| Hartzfeld, Bruce O. | N Tonawanda | C01971-1W | September 12, 2017 |
| Haumesser, John C. | Lockport | 139960-9W | September 12, 2017 |
| Hirschhorn, Ralph | Palm Gardens | 082851-7I | September 12, 2017 |
| Ierardi, Pamela | Bayside | C05075-9W | September 12, 2017 |
| Israel, Brian Scott | Tarrytown | 194100-4W | September 12, 2017 |
| Jacobson, Jeffrey Michael | Hornell | 168781-3W | September 12, 2017 |
| Keppler, Jan | Valley Stream | 171167-0W | September 12, 2017 |
| Klahr, Aryeh L. | Englewood | 136206-0I | September 12, 2017 |
| Lee, Byung Ho | Visalia | 247918-6W | September 12, 2017 |
| Lee, Florence Sue | Endicott | 137056-8W | September 12, 2017 |
| Leigh, Cosmas Anthony | Orchard Park | C08319-8W | September 12, 2017 |
| Liljeberg, Peter Murray | Canajoharie | 170054-1W | September 12, 2017 |
| Malkin, Benjamin Daniel | Oakland | 240516-5W | September 13, 2017 |
| Mancuso, Charles | Montrose | 184058-6W | September 12, 2017 |
| Mattis, Anthony | Black River | 159024-9W | September 12, 2017 |
| Mayer, John Michael | Lutz | C06788-6W | September 12, 2017 |
| Mc Gowan, Andrew Joseph, Jr. | Cutchogue | 082915-0W | September 12, 2017 |
| Moghtaderi, Sam | Washington | 247012-8W | September 12, 2017 |
| Moss, Barbara Ann | Far Rockaway | 151802-6W | September 12, 2017 |
| Nelson, William S. | Purchase | 087054-3W | September 12, 2017 |
| Oldroyd, Melissa Ann | Owego | C12524-7W | September 12, 2017 |
| Palermo, David James | Queensbury | C03123-9B | September 12, 2017 |
| Palumbo, John N. | Pelham Manor | 120558-2W | September 12, 2017 |
| Panasci, Thomas James, II | Des Peres | 217117-1W | September 13, 2017 |
| Peck, Harvey Martin | Pomona | 076256-7W | September 13, 2017 |
| Petkovich, Bradley William | Rochester | 274682-4W | September 13, 2017 |
| Pisano, Gennaro Joseph | Mount Sinai | 096203-5W | September 13, 2017 |
| Ricci, Mario Quintus | Scarsdale | 076517-2W | September 13, 2017 |
| Romano, Charles Francis | Watertown | 170369-3W | September 13, 2017 |
| Sadeh, Amnon Eric | Forest Hills | 178281-2B | September 13, 2017 |
| Sassman, Michael Joseph | Duluth | 217800-2W | September 13, 2017 |
| Sayegh, Henri | Westbury | 130966-5W | September 13, 2017 |
| Schadlow, Alan Roy | Katonah | 105809-8W | September 13, 2017 |
| Schreffler, Susan Maria | Chapel Hill | 271557-1W | September 13, 2017 |
| Seimon, Leonard Philip | Nyack | 093339-0W | September 13, 2017 |
| Serban, George | New York | 084905-9W | September 13, 2017 |
| Shih, Henry J. | Jericho | 143443-0W | September 13, 2017 |
| Skonieczki, Brendan David | Lewes | 256539-8W | September 13, 2017 |
| Sladen, Robert Neil | Roxbury | 209432-4W | September 13, 2017 |
| Soloway, Peter H. | Staten Island | 165599-2W | September 13, 2017 |
| Stern, Irene Maria | Syracuse | S12946-0W | September 13, 2017 |
| Strominger, Adele I. | Delmar | 135869-6W | September 13, 2017 |
| Sussman, Robert | New Rochelle | 081321-2B | September 13, 2017 |
| Swinburne, Andrew James | Pittsford | 113158-0W | September 13, 2017 |
| Swinger, Alan Bennett | Williamsburg | 185194-8W | September 13, 2017 |
| Szporn, Monroe N. | Philadelphia | 131789-0W | September 13, 2017 |
| Tu, Dandan | Greenwich | 255367-5W | September 13, 2017 |
| Ungsunan, Pituck | Yonkers | 121878-3W | September 13, 2017 |
| Wadhera, Om Parkash | Kendall Park | 116498-7W | September 13, 2017 |
| Wasserstein, Gary Jay | East Meadows | 128055-1W | September 13, 2017 |
| Weinbaum, Paul Joel | Pittsburgh | 174460-6W | September 13, 2017 |
| Weiss, Robert Joseph | Jamestown | 127219-4W | September 13, 2017 |
| Wirojratana, Sawarngwong | Fredonia | 117979-5W | September 13, 2017 |
| Wise, Leslie | Brooklyn | 124387-2W | September 13, 2017 |
| Zetterstrand, Philip A. | Brooklyn | 085756-5W | September 13, 2017 |
| Zupruk, Gerald M. | Patchogue | 149214-9B | September 13, 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