Subject Numbers Regarding Health Provider Authorizations
December 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 |
|---|---|---|---|
| Alexander, Steven K. | Fayetteville | 104871-9W | October 11, 2017 |
| Alli, Vamsi V. | Stony Brook | 280728-7W | October 11, 2017 |
| Anderson, Dennis | Hudson | C02924-1B | October 11, 2017 |
| Arkonac, Burak Mehmet | Linwood | 216611-4W | October 11, 2017 |
| Asgher, Shoaib | Vestal | 262545-7W | October 11, 2017 |
| Baron, Marjorie Ellen | West HaverStraw | 143589-0W | October 11, 2017 |
| Becker, Murray David | East Brunswick | 209251-8W | October 11, 2017 |
| Beitia, Antonio | Queens Village | 100654-3W | October 11, 2017 |
| Bennett, Peter Holt | Sneads Ferry | 138716-6B | October 11, 2017 |
| Bernstein, Michael F. | West Babylon | C01985-3B | October 11, 2017 |
| Blair, Richard Joseph | Manlius | 108395-5W | October 11, 2017 |
| Bradley, Susan Ramocki | New York | C07628-3W | October 11, 2017 |
| Brody, David Harold | Montague | 137214-3W | October 11, 2017 |
| Brondon, Christian Michael | New Smyrna Beach | 166449-9W | October 11, 2017 |
| Bruk, George | Sedona | 193272-2W | October 11, 2017 |
| Carton, Paul Sidney | Port Washington | 092323-5B | October 11, 2017 |
| Chang, Che Meng | Massapequa Park | 123380-8W | October 11, 2017 |
| Chapman, Alla Grigorevna | Horseheads | 233177-5W | October 11, 2017 |
| Cherneskie, Joseph Thomas | Terryville | 188660-5W | October 11, 2017 |
| Cooper, Cornelius McNeal, Jr. | New York | 127530-4W | October 11, 2017 |
| Davison, Edward T. | Palm Beach Gardens | 087554-2B | October 11, 2017 |
| Desouza, Noyel Valerian | East Amherst | 156056-4W | October 11, 2017 |
| Dominguez, Mayra | Lighthouse Point | 178599-7W | October 11, 2017 |
| Dwyer, Patrick N. | Cooperstown | 157415-1W | October 11, 2017 |
| Eglowstein, Marla Suzan | Slingerlands | 168249-1W | October 11, 2017 |
| Favazza, Frank Christopher | Patchogue | C06482-6W | October 11, 2017 |
| Finkelstein, Frank Bennett | Scarsdale | 101907-4W | October 11, 2017 |
| Friedberg, Eric Brian | Johns Creek | 209726-9W | October 11, 2017 |
| Glezen, John Marcena | Fayetteville | 086270-6W | October 11, 2017 |
| Gole, Thomas Frederick | Horseheads | 189913-7W | October 11, 2017 |
| Gothgen, Svend | Amherst | 136790-3B | October 11, 2017 |
| Grant, Alfred D. | New York | 081815-3B | October 11, 2017 |
| Gullickson, Donald Ever, III | New Britain | 263059-8W | October 11, 2017 |
| Heacock, Don Roland | East Northport | 081627-2W | October 11, 2017 |
| Howard, Neil Lee, Jr. | Hudson | C06599-7W | October 11, 2017 |
| Jonas, Holly Ann | Syosset | C06500-5W | October 11, 2017 |
| Jonas Steven S | Syosset | C02013-3W | October 11, 2017 |
| Kelley Francis Michael | Coral Gables | 089345-3W | October 11, 2017 |
| Kenkel, Delia R. | Ithaca | 200083-4W | October 11, 2017 |
| Kheterpal, Emil Mitter | Middletown | 262361-9W | October 11, 2017 |
| Kratka, Peter S. | Long Island City | 162878-3B | October 11, 2017 |
| Kurian, George | New York | 107773-4W | October 11, 2017 |
| Lehmann, Gottfried F H | Richmond Hill | 116847-5W | October 11, 2017 |
| Levin, Nathan | Brooklyn | 184834-0W | October 11, 2017 |
| Levine, Irwin Lester | New York | 085470-3W | October 11, 2017 |
| Lindner, Arthur E. | New York | 083500-9W | October 11, 2017 |
| Llugany, Oscar J. | Williamsville | 115761-9W | October 11, 2017 |
| Manohar, Leslie Murli | Jacksonville | 256884-9W | October 11, 2017 |
| Marotta, Joseph John | Troy | 160092-3W | October 11, 2017 |
| Mendenhall, Cole Fredrick Paul | Syracuse | 275513-0W | October 11, 2017 |
| Morris, Barbara Anne | Gansevoort | 135597-3W | October 11, 2017 |
| Mueller, Hiltrud Sigrid | New York | 100011-6W | October 11, 2017 |
| Nemani, Bal Mukund | Philadelphia | 115779-1B | October 11, 2017 |
| Ntiri, Yaw A A | East Northport | 152120-2W | October 11, 2017 |
| Nuccio, Dominick | Rome | C00926-8W | October 11, 2017 |
| Parras, Antonio | Scarsdale | 096479-1W | October 11, 2017 |
| Patel, Darshana Prakash | Suffern | 237142-5W | October 11, 2017 |
| Pathare, Neil Prakash | New York | 245231-6W | October 11, 2017 |
| Phillips, Eric Christopher | Easley | 192934-8W | October 11, 2017 |
| Pretorius, Eugene Scott | Atlanta | 217640-2W | October 11, 2017 |
| Quinonez, Claudia Lizeth | White Plains | 264413-6W | October 11, 2017 |
| Radin, Edward James | Mainesburg | 157674-3W | October 11, 2017 |
| Ralph, Stephen | Killeen | 160512-0B | October 11, 2017 |
| Ray, Michael Patrick | Dallas | C07679-6B | October 11, 2017 |
| Richards, Robert J. | Stony Brook | 158404-4B | October 11, 2017 |
| Rorick, Jacob D. | Waverly | C12135-2I | October 11, 2017 |
| Rosenblum, Jay Alan | New York | 093622-9W | October 11, 2017 |
| Rosenblum, Sidney | New York | C01890-5W | October 11, 2017 |
| Salob, Howard David | Middletown | C07551-7B | October 11, 2017 |
| Scheinberg, Lawrence David | Oyster Bay | 155879-0W | October 11, 2017 |
| Schwartz, Morton | Far Rockaway | 049378-3B | October 11, 2017 |
| Sclafani, Salvatore J. | Brooklyn | 081046-5B | October 11, 2017 |
| Scully, Janice Marie | Fayetteville | 163502-8W | October 11, 2017 |
| Shaw, James G. | Rochester | 280414-4W | October 11, 2017 |
| Sia, Kho Edwina S. | New Rochelle | 121823-9W | October 11, 2017 |
| Singh, Vinita | Washington | 226358-0W | October 11, 2017 |
| Skodol, Andrew Edward 2D | Phoenix | 112809-9W | October 11, 2017 |
| Small, Robert D. | White Plains | 136498-3B | October 11, 2017 |
| Smith, William E., Jr. | Lima | C02466-3W | October 11, 2017 |
| Spiegel, Rory J. | Stony Brook | 280512-5W | October 11, 2017 |
| Stangel, John Jeffery | White Plains | 106080-5W | October 11, 2017 |
| Strasser, Kevin John | Lady Island | C05056-9W | October 11, 2017 |
| Taylor, John K. | Essex | 129014-7W | October 11, 2017 |
| Valiquette, Jean | Kings Park | 107981-3W | October 11, 2017 |
| Weinberg Peter Franklin | Schenectady | 137941-1I | October 11, 2017 |
| Wright, James Harrison | Warrensburg | 175879-6W | October 11, 2017 |
| Zwass, Alicia | Saddle River | 143122-0W | October 11, 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